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Dr. Bryan David Blake, MD
Family Medicine Physician in Lithia Springs, Georgia
NPI 1316930118

Bryan David Blake is a Family Medicine Physician based in Lithia Springs, GA. Bryan David Blake practices in Lithia Springs, GA and has the professional credentials of MD. The NPI Number for Bryan David Blake is 1316930118 and holds a License No. 040613 (Georgia).

The current practice location address for Bryan David Blake is 939 Thornton Rd, Lithia Springs, GA and can be reached out via phone at 770-948-5400 and via fax at 770-948-4930.

Location: 939 Thornton Rd, Lithia Springs, GA, 30122-2634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316930118
Provider Name
Bryan David Blake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
939 Thornton Rd, Lithia Springs, GA, 30122-2634
Phone Number
770-948-5400
Fax Number
770-948-4930
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00687409D 05 GA
institution
Provider Business Practice Location Address Details
Address
939 Thornton Rd
City
Lithia Springs
State
Georgia
Zip
30122-2634
Phone Number
770-948-5400
Fax Number
770-948-4930
person
Provider Business Mailing Address Details
Address
939 Thornton Rd
City
Lithia Springs
State
Georgia
Zip
30122-2634
Phone Number
770-948-5400
Fax Number
770-948-4930
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
040613 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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