RUSSELL H BLOCKER

KENNESAW, GA
NPI1013046374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: GA  003348)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- RUSSELL H BLOCKER PAAA
1640 AIRPORT RD NW STE. 110
KENNESAW, GA 30144-7038
Phone number: 678-202-2074
Mailing Address
-- RUSSELL H BLOCKER PAAA
1984 PEACHTREE RD NW STE. 515
ATLANTA, GA 30309-5219
Phone number: 404-351-1754