York, Blakely M
York, Blakely M is an individual health care provider with primary practice located at 270 Hawthorne Ave Suite A, Athens GA 30606-2881. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. York, Blakely M can be contacted via phone (706) 546-5700.Contact Information
Primary practice address
270 Hawthorne Ave Suite A
Athens GA 30606-2881
Phone: (706) 546-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 005036 | Georgia |
Profile Details
| NPI number | 1861612525 |
|---|---|
| LBN Legal business name | York, Blakely M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Aug 24th, 2016 - about 10 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 | 1861612525 | NPPES |
| Georgia | MEDICAID | 998687643A | |
| Georgia | Other | 005036 |
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