WALTER R BLASE

ATLANTA, GA
NPI1376516617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: GA  AT000742)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
Mr. WALTER R BLASE M.S., A.T.C
101 MARIETTA ST NW SUITE 1900
ATLANTA, GA 30303-2720
Phone number: 404-878-3513
Mailing Address
Mr. WALTER R BLASE M.S., A.T.C
605 BASSETT CT SE
SMYRNA, GA 30080-5528
Phone number: 678-842-0212