Individual
DAVID M. BLOMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1292 ATHENS ST, GAINESVILLE, GA 30507-7000
(770) 531-5654
(770) 532-5341
Mailing address
601 S. ENOTA DRIVE, STE. Q, GAINESVILLE, GA 30501
(770) 533-8406
(770) 533-8409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040870
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679698C
—
GA
Enumeration date
10/26/2006
Last updated
02/19/2010
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