Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKK DIAMOND
Active Sole ProprietorBLAKK DIAMOND is a Community Health Worker healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1518572767 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1518572767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2020 (5.9548586689477 yrs)
- Last Updated
- Sep 14, 2020
- License
-
MT011268 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 PHILIP BLVD APT 1305LAWRENCEVILLE, GA, 300468749Browse GA providers · Browse ZIP 30046
- Phone
- 7064037257
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN MARY SYSOL | — | 1598031973 |
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.