Individual
MR. DENNIS JAMES BLUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 401-4423
Mailing address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 401-4423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001630
VA
Other
Enumeration date
02/02/2007
Last updated
03/03/2011
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