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1104321397
MARK HAMPTON BLOCKER
ATLANTA, GA
NPI
1104321397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
Mr. MARK HAMPTON BLOCKER PA
2150 PEACHFORD RD STE Q
ATLANTA, GA 30338-6539
Phone number: 678-615-7032
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Mailing Address
Mr. MARK HAMPTON BLOCKER PA
11540 HWY 169
GLENNVILLE, GA 30427-6803
Phone number: 912-237-5540
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