Individual
DR. AMY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 BELLEVUE RD STE 21A, DUBLIN, GA 31021-2890
(478) 328-9219
Mailing address
2400 BELLEVUE RD STE 21A, DUBLIN, GA 31021-2890
(478) 328-9219
(478) 328-0438
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
237994
NC
207N00000X
Dermatology Physician
Primary
92981
GA
207R00000X
Internal Medicine Physician
237994
NC
Other
Enumeration date
03/20/2018
Last updated
08/08/2022
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