Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Blalock

Individual provider Family Nurse Practitioner · NPI 1003349671

Mary Blalock is a Family Nurse Practitioner in Holly Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

107 Lake Reserve Way
Holly Springs, GA 30115-4785
Phone: (770) 354-0471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN129711 (GA)

Record details

NPI number1003349671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017
Mailing address107 Lake Reserve Way, Holly Springs, GA 30115-4785

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