Bryan David Blake in Lithia Springs - Family Medicine
Bryan David Blake - NPI 1316930118
Bryan David Blake is a Family Medicine in Lithia Springs, Georgia. Bryan David Blake practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bryan David Blake is 1316930118. The last update date is 2020-06-30.
Bryan David Blake's current location address is 939 Thornton Rd, Lithia Springs, Georgia. You can contact this provider via phone number 7709485400 and fax number 7709484930. The mailing address for Bryan David Blake is 939 Thornton Rd, Lithia Springs, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan David Blake |
|---|---|
| Address | 939 Thornton Rd, Lithia Springs, Georgia |
| Phone Number | 7709485400 |
| Fax Number | 7709484930 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316930118 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2020-06-30 |
Provider Mailing Address Detail
| Address | 939 Thornton Rd |
|---|---|
| City | Lithia Springs |
| State | Georgia (GA) |
| Post Code | 301222634 |
| Phone Number | 7709485400 |
| Fax Number | 7709484930 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 40613 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00687409D | GA | -- |
Post Comment/ Review Below
What is the Bryan David Blake's 1316930118?
The Bryan David Blake's NPI (National Provider Identifier) Number is 1316930118. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bryan David Blake's facilities are situated?
The facilities of Bryan David Blake are physically located at the following address: 939 Thornton Rd, Lithia Springs, GA, 301222634.
What is the Bryan David Blake's area of specialization and corresponding taxonomy classification?
The Bryan David Blake's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When was the Bryan David Blake's 1316930118 issued?
The Bryan David Blake's 1316930118 was issued on 2005-08-26.
As of what date was the information pertaining to Bryan David Blake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bryan David Blake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-30.
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