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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEONTA LASHEA BLOUNT, LPN

Active Sole Proprietor

Community Health Center · STONE MOUNTAIN, GA

Registration Details

NPI Number
1083346001
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2022 (3.8429192417809 yrs)
Last Updated
Jun 28, 2022
License
LPN072168 (GA)
Sole Proprietor
Yes

Practice Information

Address
798 RAYS RD STE 100
STONE MOUNTAIN, GA, 300833144
Browse GA providers · Browse ZIP 30083
Phone
4707369644
Fax
4045493151
Primary Specialty
Community Health Center
261QC1500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.