Blake, Amy
Blake, Amy is an individual health care provider with primary practice located at 2400 Bellevue Rd Ste 21A , Dublin GA 31021-2890. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Blake, Amy can be contacted via phone (478) 328-9219.Contact Information
Primary practice address
2400 Bellevue Rd Ste 21A
Dublin GA 31021-2890
Phone: (478) 328-9219
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 237994 | North Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 237994 | North Carolina |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 92981 | Georgia |
Profile Details
NPI number | 1386148708 |
---|---|
LBN Legal business name | Blake, Amy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2018 |
Last updated | Aug 8th, 2022 - about 2 years ago |
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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