Blake, Sheila D

Blake, Sheila D is an individual health care provider with primary practice located at 1045 Southcrest Dr Suite 110, Stockbridge GA 30281-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blake, Sheila D can be contacted via phone (770) 507-2212.

Contact Information

Primary practice address
1045 Southcrest Dr Suite 110 Stockbridge GA 30281-6113
Phone: (770) 507-2212
Fax: (770) 507-2213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 21932 Georgia

Profile Details

NPI number 1457485682
LBN Legal business name Blake, Sheila D
Credentials RN, MNS,CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 30th, 2013 - about 12 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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