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Individual

BROOKE MACLEAN BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
3442 KENSINGTON PARC CIR, AVONDALE ESTATES, GA 30002-1779
(678) 787-6526
Mailing address
3442 KENSINGTON PARC CIR, AVONDALE ESTATES, GA 30002-1779
(678) 787-6526

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN230977
GA

Other

Enumeration date
01/22/2021
Last updated
03/16/2023
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