Individual
STEPHEN C BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 MOUNT VERNON HWY NE, #330, ATLANTA, GA 30328-4274
(404) 256-2277
Mailing address
3525 PIEDMONT RD NE, BLDG 7-601, ATLANTA, GA 30305-1578
(404) 842-5400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000188174C
—
GA
Enumeration date
07/11/2006
Last updated
05/28/2010
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