Individual
MISS KAYLA BLALOCK-BRAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7915
(404) 612-4111
Mailing address
1611 HARBOR WALK STE 1611, FAIRBURN, GA 30213-3945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
04/07/2026
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