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Individual

DR. RAUL ROBERTO BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 COLLIER ROAD, SUITE 300, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER ROAD, SUITE 300, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59684
GA
207RC0000X
Cardiovascular Disease Physician
Primary
059684
GA

Other

Enumeration date
12/21/2007
Last updated
03/13/2013
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