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Individual

DR. JAMES RICHARD BLAND II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
165 CLINIC AVE, CARROLLTON, GA 30117-4413
(770) 836-9824
(770) 836-9850
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8787
(770) 838-8922

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
028727
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000328402C
GA
Enumeration date
08/03/2005
Last updated
04/11/2017
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