Individual
RICHARD H BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 LANGFORD DR, BUILDING 400, SUITE 101, BOGART, GA 30622-2610
(706) 549-0005
(706) 850-3180
Mailing address
1747 LANGFORD DR, BUILDING 400, SUITE 101, BOGART, GA 30622-2610
(706) 549-0005
(706) 850-3180
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
027348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00301793A
—
GA
01
—
024215
BLUE CROSS BLUE SHEILD
GA
Enumeration date
07/20/2005
Last updated
02/24/2014
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