Individual
DONNA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7214
(770) 728-3990
Mailing address
10701 MISTY MEADOWS DR, HAMPTON, GA 30228-6199
(678) 490-6423
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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