Edgeman, Michelle Blalock

Edgeman, Michelle Blalock is an individual health care provider with primary practice located at 1105 Burleyson Rd , Dalton GA 30720-3181. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Edgeman, Michelle Blalock can be contacted via phone (706) 278-4640.

Contact Information

Primary practice address
1105 Burleyson Rd Dalton GA 30720-3181
Phone: (706) 278-4640
Fax: (706) 275-6599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN135120 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN135120 Georgia

Profile Details

NPI number 1548414782
LBN Legal business name Edgeman, Michelle Blalock
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Oct 12th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548414782 NPPES
Georgia MEDICAID 472966726A

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