Individual
JOY THERESA BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
190 GREENCASTLE RD, TYRONE, GA 30290-2936
(770) 487-7807
Mailing address
190 GREENCASTLE RD, TYRONE, GA 30290-2936
(770) 487-7807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN217517
GA
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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