Individual
DR. CLAYTON GREGG BLEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(770) 535-1852
Mailing address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(770) 535-1852
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
059602
GA
207W00000X
Ophthalmology Physician
200500892
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901302
—
NC
05
—
817261230A
—
GA
Enumeration date
10/10/2005
Last updated
03/30/2016
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