Individual
DR. KURT EDSON GEORGE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4902 VALLEYDALE RD, BIRMINGHAM, AL 35242-4613
(205) 677-5454
Mailing address
PO BOX 31665, CHARLOTTE, NC 28231-1665
(843) 793-6980
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD.41045
AL
Other
Enumeration date
04/02/2017
Last updated
10/28/2025
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