Organization
BLUE LAKE HEALTH, LLC
Active
Organization
BLUE LAKE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E PATRICK JR. (CEO)
(205) 977-1949
Entity
Organization
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Mailing address
DEPT #8318, PO BOX 11407, BIRMINGHAM, AL 35246
(205) 977-1949
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
09/21/2022
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