Individual
DANIEL JORDAN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(706) 692-9016
Mailing address
199 GRAY ST, TRION, GA 30753-1401
(706) 331-5734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06211964
GA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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