Blake, Israel Dennard

Blake, Israel Dennard is an individual health care provider with primary practice located at 228 Augusta Ave , Thomasville GA 31792-7003. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Nursing Service Related Providers / Religious Nonmedical Practitioner. Nursing Service Related Providers / Religious Nonmedical Practitioner is his primary health care specialty. Blake, Israel Dennard can be contacted via phone (229) 228-7775.

Contact Information

Primary practice address
228 Augusta Ave Thomasville GA 31792-7003
Phone: (229) 228-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Georgia
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X Georgia

Profile Details

NPI number 1598500605
LBN Legal business name Blake, Israel Dennard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2024
Last updated Jun 28th, 2024 - about 3 months 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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