Bland, James Richard
Bland, James Richard is an individual health care provider with primary practice located at 165 Clinic Ave , Carrollton GA 30117-4413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bland, James Richard can be contacted via phone (770) 836-9824.Contact Information
Primary practice address
165 Clinic Ave
Carrollton GA 30117-4413
Phone: (770) 836-9824
Fax: (770) 836-9850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 028727 | Georgia |
Profile Details
| NPI number | 1700887437 |
|---|---|
| LBN Legal business name | Bland, James Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Apr 11th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700887437 | NPPES |
| Georgia | MEDICAID | 000328402C |
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