Individual
TAMIKA BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(404) 365-0966
Mailing address
993 PARKSIDE PLACE AVE, MCDONOUGH, GA 30253-9094
(678) 760-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN274512
GA
207QA0505X
Adult Medicine Physician
Primary
RN274512
GA
Other
Enumeration date
05/16/2024
Last updated
10/09/2025
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