Individual
DR. SEAN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6298 VETERANS PKWY STE 5A, COLUMBUS, GA 31909-6245
(706) 287-9885
(800) 289-6001
Mailing address
6298 VETERANS PKWY STE 5A, COLUMBUS, GA 31909-6245
(706) 287-9885
(800) 289-6001
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
069875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069875
MEDICAL LICENSE
GA
01
—
52606838-001
BCBSGA
GA
01
—
600-88733
BCBS-AL
AL
01
—
S0431
TX MEDICAL LICENSE
TX
Enumeration date
07/06/2010
Last updated
10/30/2025
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