Mary Blalock
NPI #1003349671 in Holly Springs, Georgia
Provider Information
- NPI Number
- 1003349671
- Entity Type
- Individual
- Name
- Mary Blalock
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 10, 2017
- Last Updated
- Apr 10, 2017
Practice Location
- Address
- 107 LAKE RESERVE WAY
- City
- Holly Springs
- State
- Georgia
- ZIP Code
- 30115-4785
- Phone
- (770) 354-0471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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