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Blake Robert Smith, MD
Otolaryngology Physician in Duluth, Georgia
NPI 1780927269

Blake Robert Smith is a Otolaryngology Physician based in Cleveland, GA. Blake Robert Smith practices in Duluth, GA and has the professional credentials of MD. The NPI Number for Blake Robert Smith is 1780927269 and holds a License No. (Georgia).

The current practice location address for Blake Robert Smith is 3650 Steve Reynolds Blvd Dept Of, Duluth, GA and can be reached out via phone at 404-365-0966.

Location: 3650 Steve Reynolds Blvd Dept Of, Duluth, GA, 44195-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780927269
Provider Name
Blake Robert Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3650 Steve Reynolds Blvd Dept Of, Duluth, GA, 44195-0001
Phone Number
404-365-0966
Fax Number
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3650 Steve Reynolds Blvd Dept Of
City
Duluth
State
Georgia
Zip
30096-4506
Phone Number
404-365-0966
Fax Number
person
Provider Business Mailing Address Details
Address
3650 Steve Reynolds Blvd Dept Of
City
Duluth
State
Georgia
Zip
30096-4506
Phone Number
404-365-0966
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
079904 (Georgia)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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