Individual
ANGELA LYNN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
703 E 9TH ST NORTH, BDLG 4970 RM 319, FORT STEWART, GA 31314
(912) 435-1327
(912) 435-6151
Mailing address
703 E 9TH ST NORTH, BDLG 4970 RM 319, FORT STEWART, GA 31314
(912) 435-1327
(912) 435-6151
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN186218
GA
Other
Enumeration date
09/19/2014
Last updated
06/11/2019
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