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Individual

TARA ROYCHELL BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
523 SHADOWMOOR CIR, THOMSON, GA 30824-8109
(706) 399-4695
Mailing address
523 SHADOWMOOR CIR, THOMSON, GA 30824-8109

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
APRN-NP-235127
GA

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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