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1639289341
MICHAEL BLAIVAS
AUGUSTA, GA
NPI
1639289341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 051435)
Enumeration Date
2006-08-30
Last Update Date
2007-07-09
Business Address
-- MICHAEL BLAIVAS MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4951
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Mailing Address
-- MICHAEL BLAIVAS MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-6410
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