LISA BLAKE

ROME, GA
NPI1861424004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  055101)
Enumeration Date2006-07-07
Last Update Date2024-04-11
Business Address
LISA BLAKE MD
15 RIVERBEND DR SW STE 200
ROME, GA 30161-6065
Phone number: 706-291-0884
Mailing Address
LISA BLAKE MD
15 RIVERBEND DR SW STE 200
ROME, GA 30161-6065
Phone number: 706-291-0884
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