W KENNY BLAKE MD LLC

Family Medicine

Active Organization
NPI: 1093011314

Practice Address

545 VENTURE COURT
Monticello, GA 31064

Phone: (706) 468-7002

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1093011314 is the National Provider Identifier for W KENNY BLAKE MD LLC, a Family Medicine provider located in Monticello, GA. This NPI was enumerated on February 3, 2011.

Quick Facts

NPI
1093011314
Type
Organization
Enumerated
Feb 3, 2011
Last Updated
Feb 4, 2011

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