OrganizationBlossom Q Health, Inc.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2133 Boyce Cir, Marietta, GA 30066-4514(404) 595-1697PECOS EnrollmentBased on the most recent information from CMS, provider Blossom Q Health, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 12 days ago.Profile DetailsProvider ID1780373290Provider TypeOrganizationFull NameBlossom Q Health, Inc.SubpartNoEnumeration Date5/2/2023Last Updated5/2/2023Contact InformationPractice LocationPractice Address2133 Boyce Cir, Marietta, GA 30066-4514Phone(404) 595-1697FaxUnlisted FaxMailing LocationMailing Address650 Ponce De Leon Ave NE Ste 300, Atlanta, GA 30308-1864Phone(404) 595-1697FaxUnlisted FaxAuthorized OfficialNameVarma, Avantika (Ceo)Phone(404) 595-1697Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer