Individual
MICHAEL S. BLAISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1090 WINDFAIRE PL, ROSWELL, GA 30076-3307
(901) 674-6075
Mailing address
1090 WINDFAIRE PL, ROSWELL, GA 30076-3307
(901) 674-6075
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00010264
TN
Other
Enumeration date
07/12/2006
Last updated
01/22/2019
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