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

Primary practice address
550 Peachtree St Atlanta GA 30308
Phone: (404) 686-7431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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