NIKKIA BLAKE

MARIETTA, GA
NPI1447755897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: GA  89739)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: GA  89739)
Enumeration Date2018-03-28
Last Update Date2024-08-18
Business Address
Ms. NIKKIA BLAKE
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-7763
Mailing Address
Ms. NIKKIA BLAKE
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: