Individual
DANIEL BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, FACP
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-5076
(706) 475-6676
Mailing address
2280 STONEWOOD FIELD RD, WATKINSVILLE, GA 30677-6154
(423) 782-8675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81656
GA
208D00000X
General Practice Physician
0102204947
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102204947
VIRGINIA BOARD OF MEDICINE FOR GENERAL PRACTITIONER
VA
Enumeration date
12/11/2015
Last updated
04/14/2024
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