DEDRA I BLALOCK

ATLANTA, GA
NPI1619063153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA  RN089049NP)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
-- DEDRA I BLALOCK
550 PEACHTREE ST
ATLANTA, GA 30308
Phone number: 404-686-7431
Mailing Address
-- DEDRA I BLALOCK
550 PEACHTREE ST
ATLANTA, GA 30308
Phone number: 404-686-7431
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