Individual
LAURA BLOK-KALNASY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30342-1764
(404) 851-7294
(404) 851-7958
Mailing address
5665 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30342-1764
(404) 851-7294
(404) 851-7958
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA16755
CA
363AM0700X
Medical Physician Assistant
Primary
005205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA16755
—
CA
Enumeration date
04/26/2006
Last updated
09/09/2008
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