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Organization
DR JOHNNY J DI BLASI DO PC
Active
Organization
DR JOHNNY J DI BLASI DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY J DI BLASI D.O. (OWNER)
(904) 482-9673
Entity
Organization
Contact information
Practice address
3 WASHINGTON AVE, GAINESVILLE, GA 30501-4135
(904) 482-9673
Mailing address
3 WASHINGTON AVE, GAINESVILLE, GA 30501-4135
(904) 482-9673
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
75206
GA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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