Blatt, Jacob Nathan

Blatt, Jacob Nathan is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 409, Austell GA 30106-6810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Blatt, Jacob Nathan can be contacted via phone (770) 424-6893.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 409 Austell GA 30106-6810
Phone: (770) 424-6893
Fax: (770) 528-9926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 057935 Georgia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 057935 Georgia

Profile Details

NPI number 1083892111
LBN Legal business name Blatt, Jacob Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Nov 15th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083892111 NPPES
Georgia MEDICAID 859089115B
Georgia MEDICAID 859089115C
Georgia MEDICAID 859089115D
Georgia MEDICAID 859089115A

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