DR. Bryan David Blake, MD
NPI #1316930118 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1316930118
- Entity Type
- Individual
- Name
- DR. Bryan David Blake, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Jun 30, 2020
Practice Location
- Address
- 939 THORNTON RD
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-2634
- Phone
- (770) 948-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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