Individual
DR. SAMUEL B BLEUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1267 HIGHWAY 54 W, SUITE 2200, FAYETTEVILLE, GA 30214-2114
(770) 716-0051
(770) 716-0087
Mailing address
1267 HIGHWAY 54 W, SUITE 2200, FAYETTEVILLE, GA 30214-2114
(770) 716-0051
(770) 716-0087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239289
NY
207RC0000X
Cardiovascular Disease Physician
Primary
060241
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043447662HI
—
GA
Enumeration date
03/16/2007
Last updated
09/10/2010
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