Individual
DR. WILLIAM ALLEN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 724-2791
Mailing address
65 CONIFER CIR, AUGUSTA, GA 30909-4508
(706) 737-5720
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
29588
GA
Other
Enumeration date
05/19/2006
Last updated
05/27/2011
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