BLAKE MASTERS

GAINESVILLE, GA
NPI1134521164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  007322)
Enumeration Date2014-09-22
Last Update Date2014-09-22
Business Address
-- BLAKE MASTERS AAc
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-532-7179
Mailing Address
-- BLAKE MASTERS AAc
PO BOX 1076
GAINESVILLE, GA 30503-1076
Phone number: 770-532-7179