Individual
BLAKE DALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
(912) 216-3489
Mailing address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
101962
GA
Other
Enumeration date
03/29/2023
Last updated
07/29/2025
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