Individual
DONALD L. BLIWISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1841 CLIFTON RD NE RM 509, WESLEY WOODS HEALTH CENTER, ATLANTA, GA 30329-4021
(404) 728-4751
(404) 712-8145
Mailing address
1841 CLIFTON RD NE RM 509, WESLEY WOODS HEALTH CENTER, ATLANTA, GA 30329-4021
(404) 728-4751
(404) 712-8145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1700
GA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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