AMANDA PUCKETT BLAKE

AUSTELL, GA
NPI1144053596
Former NameAMANDA LORAINE PUCKETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: GA  RN173764)
Enumeration Date2024-08-21
Last Update Date2024-08-21
Business Address
AMANDA PUCKETT BLAKE CNM
1791 MULKEY RD STE 200
AUSTELL, GA 30106-1124
Phone number: 770-732-5400
Mailing Address
AMANDA PUCKETT BLAKE CNM
42 SHOALS TRL
DALLAS, GA 30132-6045
Phone number: 404-275-0054
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