Individual
DR. GREGORY BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-5100
Mailing address
211 BLUEBIRD TRL, FORTSON, GA 31808-7025
(706) 566-9580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-549344
GA
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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