Individual
MARY AUGUSTA KOBLASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
80 JESSE HILL JR DR SE, DEPT OF PSYCHIATRY, ATLANTA, GA 30303-3031
(404) 616-4762
Mailing address
210 AERIE CT, ATLANTA, GA 30350-2801
(770) 650-0602
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN055134
GA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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