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JOY THERESA BLUMBERG NP-C
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1437675394
Individual Registrant: JOY THERESA BLUMBERG NP-C
Gender: F
Not Sole Proprietor
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: --
Tel: (77-0) -487-7807 Fax: --
Contact information for business:
190 GREENCASTLE RD TYRONE, GA 30290-2936 US
Tel: 770-487-7807 Fax: --
Tel: 770-487-7807 Fax: --
Registration Information:
NPI: 1437675394
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN217517 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
