Individual
KRISTIE A. BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365C CLIFTON RD NE, ATLANTA, GA 30322-1280
(404) 778-1900
Mailing address
1365C CLIFTON RD NE, ATLANTA, GA 30322-1013
(614) 947-3700
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
35083320
OH
207RH0003X
Hematology & Oncology Physician
Primary
078619
GA
207RH0003X
Hematology & Oncology Physician
35.083320
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500636
—
OH
Enumeration date
07/30/2006
Last updated
07/21/2022
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