Milner, Blake E

Milner, Blake E is an sole proprietor health care provider with primary practice located at 1111 Griffin Ave , Eastman GA 31023-9101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Milner, Blake E can be contacted via phone (478) 374-8998.

Contact Information

Primary practice address
1111 Griffin Ave Eastman GA 31023-9101
Phone: (478) 374-8998
Fax: (478) 374-8525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 052789 Georgia

Profile Details

NPI number 1336256015
LBN Legal business name Milner, Blake E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jun 17th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336256015 NPPES
Georgia Other 043644539A MEDICAID
Georgia Other 170591 MEDICAID
Georgia Other 002243 MEDICAID
Georgia Other 109050 MEDICAID

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