Bleuez, Samuel B

Bleuez, Samuel B is an individual health care provider with primary practice located at 1267 Highway 54 W Suite 2200, Fayetteville GA 30214-2114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bleuez, Samuel B can be contacted via phone (770) 716-0051.

Contact Information

Primary practice address
1267 Highway 54 W Suite 2200 Fayetteville GA 30214-2114
Fax: (770) 716-0087
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 239289 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 060241 Georgia

Profile Details

NPI number 1255465696
LBN Legal business name Bleuez, Samuel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Sep 10th, 2010 - about 14 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 1255465696 NPPES
Georgia MEDICAID 043447662HI

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