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Phyllisa Dawn Blake, RN

Registered Nurse in Chamblee, GA. Individual provider (NPI-1).

NPI number1629329453
StatusActive
Last updated in NPPESSep 24, 2012

Details

NPI
1629329453
Entity type
Individual (NPI-1)
Name
Phyllisa Dawn Blake
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2012
Last updated
Sep 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN196553GAYes

Practice location

3807 Clairmont Rd
Chamblee, GA 30341-4911

Phone 770-454-1144 · Fax 770-452-4468

Mailing address

4312 Rickenbacker Way Ne
Atlanta, GA 30342-3713

Phone 404-914-7136

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Other Registered Nurse providers in Chamblee, GA

All 12 Registered Nurse providers in Chamblee · All 375 providers in Chamblee

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