Individual
JOHN THOMAS BLASINGAME III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE 300, ATLANTA, GA 30309-1414
(404) 352-4440
(404) 352-4446
Mailing address
2759 ENGLE RD NW, ATLANTA, GA 30318-7214
(404) 794-0399
(404) 794-3380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035379
GA
Other
Enumeration date
02/21/2006
Last updated
07/09/2007
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