Individual
DR. HERBERT L BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
6001 PROFESSIONAL PKWY, SUITE 2000, DOUGLASVILLE, GA 30134-5602
(770) 949-3885
(770) 949-3882
Mailing address
PO BOX 2010, DOUGLASVILLE, GA 30133-2010
(770) 949-3885
(770) 949-3882
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
020964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00190495A
—
GA
Enumeration date
06/03/2006
Last updated
08/10/2010
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