Individual
INDIA BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 CASCADE RD SW, ATLANTA, GA 30331-2108
(404) 472-1949
(404) 472-1954
Mailing address
3740 CASCADE RD SW, ATLANTA, GA 30331-2108
(404) 472-1949
(404) 472-1954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030226
GA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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