Individual
MARY JO CHRISTINE BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 691-1533
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN183563
GA
Other
Enumeration date
12/02/2014
Last updated
08/03/2022
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