Blalock, Jessica M
Blalock, Jessica M is an sole proprietor health care provider with primary practice located at 4918 Longcourt Trce Se , Atlanta GA 30339-1698. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Blalock, Jessica M can be contacted via phone (404) 290-2345.Contact Information
Primary practice address
4918 Longcourt Trce Se
Atlanta GA 30339-1698
Phone: (404) 290-2345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1215635420 |
|---|---|
| LBN Legal business name | Blalock, Jessica M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2023 |
| Last updated | Feb 16th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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