Blaney, Michael W
Blaney, Michael W is an individual health care provider with primary practice located at 3830 Washington Rd Ste 17 , Martinez GA 30907-5080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blaney, Michael W can be contacted via phone (706) 922-0440.Contact Information
Primary practice address
3830 Washington Rd Ste 17
Martinez GA 30907-5080
Phone: (706) 922-0440
Fax: (706) 922-0441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 40614 | Georgia |
Profile Details
| NPI number | 1992881122 |
|---|---|
| LBN Legal business name | Blaney, Michael W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jun 24th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992881122 | NPPES |
| South Carolina | MEDICAID | G40614 | |
| South Carolina | MEDICAID | 000906727C |
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