Individual
JOEL GREGORY BLASCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
170 PARKMONT CT, DALLAS, GA 30132-1126
(478) 319-1831
Mailing address
170 PARKMONT CT, DALLAS, GA 30132-1126
(478) 319-1831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149466
GA
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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