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Contact Information

LISA D BLAKELY, RN
1659 WOODBRIDGE LN NE
ATLANTA, GA30329-3536
 Phone: 678-548-1416
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for LISA D BLAKELY · (Female)

NPI Number 1336678317
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/05/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN127654
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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