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Mary Blalock
Family Nurse Practitioner in Holly Springs, Georgia
NPI 1003349671

Mary Blalock is a Family Nurse Practitioner based in Holly Springs, GA and is specialized in Family. Mary Blalock practices in Holly Springs, GA. The NPI Number for Mary Blalock is 1003349671 and holds a License No. RN129711 (Georgia).

The current practice location address for Mary Blalock is 107 Lake Reserve Way, Holly Springs, GA and can be reached out via phone at 770-354-0471.

Location: 107 Lake Reserve Way, Holly Springs, GA, 30115-4785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003349671
Provider Name
Mary Blalock
Credential
Provider Entity Type
Individual
Gender
Female
Address
107 Lake Reserve Way, Holly Springs, GA, 30115-4785
Phone Number
770-354-0471
Fax Number
Provider Enumeration Date
04/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 Lake Reserve Way
City
Holly Springs
State
Georgia
Zip
30115-4785
Phone Number
770-354-0471
Fax Number
person
Provider Business Mailing Address Details
Address
107 Lake Reserve Way
City
Holly Springs
State
Georgia
Zip
30115-4785
Phone Number
770-354-0471
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN129711 (Georgia)
Definition
Definition to come...
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