Individual
MYKAILA BLUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1063
(404) 712-2000
Mailing address
1462 CLIFTON RD NE STE 280, ATLANTA, GA 30322-1059
(404) 727-7857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
08/30/2023
Last updated
01/14/2025
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