Ms. NIKKIA BLAKE
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1447755897- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 677 CHURCH ST NE, MARIETTA, GA, 300601101
- Phone
- (770) 793-7763
Specialties & Taxonomies
Emergency Medicine
License: GA #89739
Physical Medicine & Rehabilitation
Primary License: GA #89739
All Addresses
MAILING
677 CHURCH ST NE
MARIETTA, GA, 300601101