Provider Demographics
NPI:1750179461
Name:BLUITT, PARIS
Entity type:Individual
Prefix:
First Name:PARIS
Middle Name:
Last Name:BLUITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3480 LAKESIDE DR NE APT 2322
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1944
Mailing Address - Country:US
Mailing Address - Phone:317-809-9943
Mailing Address - Fax:
Practice Address - Street 1:2323 PIEDMONT RD NE APT 3306
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3447
Practice Address - Country:US
Practice Address - Phone:317-809-9943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28279060163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health