Blaize, Marie
Blaize, Marie is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Blaize, Marie can be contacted via phone (770) 838-8824.Contact Information
Primary practice address
705 Dixie St
Carrollton GA 30117-3818
Phone: (770) 838-8824
Fax: (770) 838-8563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61514731 | Washington |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 076302 | Georgia |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 076302 | Georgia |
Profile Details
NPI number | 1275979205 |
---|---|
LBN Legal business name | Blaize, Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2013 |
Last updated | Jan 10th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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