# BLOSSOM Q HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Equal Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780373290
- **Authorized official:** AVANTIKA VARMA MD (CEO)
- **Authorized official phone:** (404) 595-1697

## Contact information

- **Practice address:** 2133 BOYCE CIR, MARIETTA, GA 30066-4514
- **Practice address phone:** (404) 595-1697
- **Mailing address:** 650 PONCE DE LEON AVE NE STE 300, ATLANTA, GA 30308-1864
- **Mailing address phone:** (404) 595-1697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 05/02/2023
- **Last updated:** 05/02/2023