Victor J Blake Associates

NPI #1336327402 in College Park, Georgia

Provider Information

NPI Number: 1336327402
Entity Type: Organization
Organization Name: Victor J Blake Associates
Primary Specialty: Specialist
Enumeration Date: Jan 31, 2008
Last Updated: Jan 31, 2008

Practice Location

Address: 1897 GODBY RD
City: College Park
State: Georgia
ZIP Code: 30349-5235
Phone: (770) 996-7622

Authorized Official

Name: VICTOR J BLAKE, MD
Title: PRESIDENT
Phone: (770) 996-7622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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