| Blossom Q Health, Inc. | |
|
2133 Boyce Cir Marietta GA 30066-4514 | |
| (404) 595-1697 | |
| Not Available |
| Full Name | Blossom Q Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2133 Boyce Cir, Marietta, Georgia |
| Authorized Official Name and Position | Avantika Varma (CEO) |
| Authorized Official Contact | 4045951697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Q Health, Inc. 650 Ponce De Leon Ave Ne Ste 300 Atlanta GA 30308-1864 Ph: (404) 595-1697 | Blossom Q Health, Inc. 2133 Boyce Cir Marietta GA 30066-4514 Ph: (404) 595-1697 |
| NPI Number | 1780373290 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780373290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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