Organization
BLOSSOM Q HEALTH, INC.
Active
Other names
Equal Health
Organization subpart
No
Provider details
NPI number
Authorized official
AVANTIKA VARMA MD (CEO)
(404) 595-1697
Entity
Organization
Contact information
Practice address
2133 BOYCE CIR, MARIETTA, GA 30066-4514
(404) 595-1697
Mailing address
650 PONCE DE LEON AVE NE STE 300, ATLANTA, GA 30308-1864
(404) 595-1697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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