Koblasz, Mary Augusta

Koblasz, Mary Augusta is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se Dept Of Psychiatry, Atlanta GA 30303-3031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Koblasz, Mary Augusta can be contacted via phone (404) 616-4762.

Contact Information

Primary practice address
80 Jesse Hill Jr Dr Se Dept Of Psychiatry Atlanta GA 30303-3031
Phone: (404) 616-4762
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN055134 Georgia

Profile Details

NPI number 1386672095
LBN Legal business name Koblasz, Mary Augusta
Credentials RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 17 years 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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