Individual
STACY BLASSINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 389-6789
Mailing address
PO BOX 662, SPARTA, GA 31087-0662
(478) 357-5203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN214782
GA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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