Individual
JOHANNA BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
92523
GA
Other
Enumeration date
03/19/2019
Last updated
08/18/2022
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