Individual
MRS. ANN MARIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 322-7884
Mailing address
6721 BRIDGE WAY, COLUMBUS, GA 31904-1298
(706) 587-6469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111994
GA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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