Individual
AMIRIA BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-5000
Mailing address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17774
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2023
Last updated
10/17/2025
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