MARVIN BLASE

SANDY SPRINGS, GA
NPI1700893138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: GA  16778)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
MARVIN BLASE MD
990 RIVERSIDE TRUCE
SANDY SPRINGS, GA 30328-1640
Phone number: 770-671-1312
Mailing Address
MARVIN BLASE MD
POB 720440
SANDY SPRINGS, GA 30358-2440
Phone number: 770-671-1312
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