Blase, Marvin

Blase, Marvin is an individual health care provider with primary practice located at 990 Riverside Truce , Sandy Springs GA 30328-1640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Blase, Marvin can be contacted via phone (770) 671-1312.

Contact Information

Primary practice address
990 Riverside Truce Sandy Springs GA 30328-1640
Phone: (770) 671-1312
Fax: (770) 671-0005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16778 Georgia

Profile Details

NPI number 1700893138
LBN Legal business name Blase, Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 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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