Tena Austin Blakey, MSW

Individual provider Active NPI Case Manager/Care Coordinator · Tignall, GA

NPI 1013070747 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013070747
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3258 Newtown Rd
Tignall, GA 30668-2328
Phone
(706) 285-2853
Fax
(706) 285-2853
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3258 Newtown Rd
Tignall, GA 30668-2328

Mailing address

3258 Newtown Rd
Tignall, GA 30668-2328
Phone (706) 285-2853

Other providers in Tignall, GA

All providers in Tignall, GA · Case Manager/Care Coordinator in Georgia

Sources for this page

Verify at the official NPI Registry.