Blaylock, Gabrielle Nicole

Blaylock, Gabrielle Nicole is an sole proprietor health care provider with primary practice located at 80 Jesse Hill Jr Dr Se , Atlanta GA 30303-3050. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Blaylock, Gabrielle Nicole can be contacted via phone (404) 616-1000.

Contact Information

Primary practice address
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3050
Phone: (404) 616-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Georgia

Profile Details

NPI number 1346638905
LBN Legal business name Blaylock, Gabrielle Nicole
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2015
Last updated May 5th, 2024 - about 7 months ago

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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