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Individual

BRENT BLANCK-SINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5445 MERIDIAN MARK RD STE 390, ATLANTA, GA 30342-4755
(404) 237-3668
(404) 237-9562
Mailing address
PO BOX 108, DALLAS, GA 30132-0003
(678) 426-2171
(615) 269-3087

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001518
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/07/2019
Last updated
04/17/2023
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