NPI 1023677713
Earlean Blackwell
Practice location
- Address
- 1865 Waldrep Cir SE, Marietta, GA 30060-4927
- Phone
- (678) 491-0078
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1023677713
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jun 2019
- Record last updated
- 6 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.