Blalock, Dedra I
Blalock, Dedra I is an individual health care provider with primary practice located at 550 Peachtree St , Atlanta GA 30308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Blalock, Dedra I can be contacted via phone (404) 686-7431.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | RN089049NP | Georgia |
Profile Details
NPI number | 1619063153 |
---|---|
LBN Legal business name | Blalock, Dedra I |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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