Individual
BLAINE E. CRIBBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-7402
(404) 778-4819
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-7402
(404) 778-4819
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054805
GA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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