MARIE BLAIZE

CARROLLTON, GA
NPI1275979205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: GA  076302)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  MD61514731)
207R00000X Internal Medicine
(Licence: GA  076302)
Enumeration Date2013-05-16
Last Update Date2024-01-10
Business Address
MARIE BLAIZE
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-838-8824
Mailing Address
MARIE BLAIZE
119 AMBULANCE DR SUITE 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8824