Individual
DR. JEROME B BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2004
(770) 422-8465
Mailing address
55 WHITCHER ST NE, SUITE 400, MARIETTA, GA 30060-1155
(770) 422-2004
(770) 422-8465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010104
GA
Other
Enumeration date
10/27/2005
Last updated
10/22/2019
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