Individual
SHARON M BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7640 PLEASANTVILLE WAY, GROVETOWN, GA 30813
(760) 380-7133
Mailing address
7640 PLEASANTVILLE WAY, GROVETOWN, GA 30813
(760) 380-7133
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001159686
VA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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