Dwight D Blake, MD

NPI #1811938814 in Union City, Georgia

Provider Information

NPI Number: 1811938814
Entity Type: Individual
Name: Dwight D Blake, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 9, 2006
Last Updated: May 13, 2010

Practice Location

Address: 4910 JONESBORO RD
Address 2: BLDG. 700, STE. 1
City: Union City
State: Georgia
ZIP Code: 30291-2085
Phone: (770) 964-7736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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