Individual provider · Type 1 NPI
Mary Blalock
Family Nurse Practitioner · Holly Springs, GA
NPI number
1003349671
Active
Practice location
107 Lake Reserve Way
Holly Springs, GA 30115-4785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN129711 (GA) |
Family Nurse Practitioner: Definition to come...
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- Tami McCoy, MS, APRN, FNP-CFamily Nurse Practitioner Holly Springs, GA NPI 1952716136
About NPI 1003349671
Mary Blalock's National Provider Identifier is 1003349671, issued on Apr 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Holly Springs, GA. The record was last updated on Apr 10, 2017.