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Individual

WILLIAM G. BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1365 CLIFTON RD NE BLDG C, ATLANTA, GA 30322-1280
(404) 778-7408
Mailing address
1365 CLIFTON RD, BUILDING C, ATLANTA, GA 30322
(404) 778-7408

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
35083044
OH
207RH0003X
Hematology & Oncology Physician
Primary
078757
GA
207RH0003X
Hematology & Oncology Physician
35.083044
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2448515
OH
Enumeration date
07/30/2006
Last updated
07/21/2022
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