DWIGHT DENMAN BLAKE MD

ROPHE ADULT AND PEDIATRIC MEDICINE

Dr DWIGHT DENMAN BLAKE MD is a male medical professional, specializing in Internal Medicine. He graduated in 1984.

Contact

ROPHE ADULT AND PEDIATRIC MEDICINE

4910 JONESBORO RD
SUITE 1
UNION CITY
GA
302912085

Tel: 7709647736

DWIGHT DENMAN BLAKE MD Information

Npi 1811938814
Pac Id 6002826427
Professional Enrollment Id I20060501000317
Last Name BLAKE
First Name DWIGHT
Middle Name DENMAN
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ROPHE ADULT AND PEDIATRIC MEDICINE
Group Practice Pac Id 3476551961
Number Of Group Practice Members 4
Line 1 Street Address 4910 JONESBORO RD
Line 2 Street Address SUITE 1
Marker Of Address Line 2 Suppression
City UNION CITY
State GA
Zip Code 302912085
Phone Number 7709647736
Hospital Affiliation Ccn 1 110115
Hospital Affiliation Lbn 1 WELLSTAR ATLANTA MEDICAL CENTER
Hospital Affiliation Ccn 2 110215
Hospital Affiliation Lbn 2 PIEDMONT FAYETTE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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