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JOY THERESA BLUMBERG NP-C

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1437675394

Individual Registrant:
 JOY THERESA BLUMBERG NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
190 GREENCASTLE RD  TYRONE, GA 30290-2936 US
Tel: (77-0) -487-7807  Fax: --

Contact information for business:
190 GREENCASTLE RD  TYRONE, GA 30290-2936 US
Tel: 770-487-7807  Fax: --

Registration Information:
NPI: 1437675394
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN217517

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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