DR. WYATT BLAKE, MD

Family Medicine

Active Individual
NPI: 1548263064

Practice Address

1005 BOULDER DR
Gray, GA 31032

Phone: (478) 621-2100

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 047702 (GA)

Frequently Asked Questions

NPI 1548263064 is the National Provider Identifier for DR. WYATT BLAKE, MD, a Family Medicine provider located in Gray, GA. This NPI was enumerated on May 30, 2005.
DR. WYATT BLAKE, MD practices at 1005 BOULDER DR, Gray, GA 31032.

Quick Facts

NPI
1548263064
Type
Individual
Enumerated
May 30, 2005
Last Updated
Jul 17, 2019

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