Southbridge Housecalls LLC

NPI #1922688530 in Fairburn, Georgia

Provider Information

NPI Number
1922688530
Entity Type
Organization
Organization Name
Southbridge Housecalls LLC
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Apr 9, 2021
Last Updated
Apr 9, 2021

Practice Location

Address
7870 WATERLACE DR
State
Georgia
ZIP Code
30213-4647
Phone
(404) 542-5017

Authorized Official

Name
MS. ALLYSON BLUE, NP
Title
NURSE PRACTITIONER/OWNER
Phone
(404) 542-5017

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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