Daphne Reene Blakley in Stockbridge - Physician Assistant
Daphne Reene Blakley - NPI 1538353057
Daphne Reene Blakley is a Physician Assistant in Stockbridge, Georgia. Daphne Reene Blakley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Daphne Reene Blakley is 1538353057. The last update date is 2007-08-28.
Daphne Reene Blakley's current location address is 215 Manor Oak Way, Stockbridge, Georgia. You can contact this provider via phone number 7705062815 and fax number 7705062815. The mailing address for Daphne Reene Blakley is 215 Manor Oak Way, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daphne Reene Blakley |
|---|---|
| Address | 215 Manor Oak Way, Stockbridge, Georgia |
| Phone Number | 7705062815 |
| Fax Number | 7705062815 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1538353057 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 215 Manor Oak Way |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302811165 |
| Phone Number | 7705062815 |
| Fax Number | 7705062815 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4396 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Daphne Reene Blakley by the Centers for Medicare & Medicaid Services?
The Daphne Reene Blakley has been assigned the NPI (National Provider Identifier) 1538353057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Daphne Reene Blakley?
The Daphne Reene Blakley is situated at 215 Manor Oak Way, in the city of Stockbridge, state of GA, with the zip code 302811165.
What is Daphne Reene Blakley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Daphne Reene Blakley is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1538353057 assigned to Daphne Reene Blakley?
The Daphne Reene Blakley was issued its 1538353057 on 2007-08-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Daphne Reene Blakley's details last updated?
The information pertaining to the Daphne Reene Blakley, including its address, specialty, and other details, was most recently updated on 2007-08-28.
NPI Number: 1477582294
Address: 5480 Wisconsin Ave Ste 204, Chevy Chase, MD