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 yesterday at 11:47 AM.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