Individual
DR. MITCHELL A BLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, STE #600, ATLANTA, GA 30342-1731
(404) 303-1944
Mailing address
5673 PEACHTREE DUNWOODY RD, STE #600, ATLANTA, GA 30342-1731
(404) 303-1944
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
039531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00677102B
—
GA
Enumeration date
02/08/2007
Last updated
01/17/2024
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