DWIGHT D BLAKE (NPI# 1811938814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811938814 |
Entity Type | Individual |
Full Name | DWIGHT D BLAKE |
Credential | MD |
Practice Address |
4910 Jonesboro Rd Bldg. 700, Ste. 1 Union City GA 30291-2085 |
Practice Telephone | 7709647736 |
Practice Fax Number | 7703061726 |
Mailing Telephone | 7709647736 |
Mailing Fax Number | 7703061726 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2010-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 51117 | GA | Allopathic & Osteopathic Physicians |
Street Address |
4910 JONESBORO RD BLDG. 700, STE. 1 |
City | UNION CITY |
State | GA |
Zip Code | 30291-2085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376594770 | Yvonne L Smith | Pediatrics | 4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, GA 30291-2085 | 2006-05-12 |
1215385992 | Dionne Tehsheen Bravo | Nurse Practitioner | 4910 Jonesboro Rd, Bldg 700, Suite 1, Union City, GA 30291-2085 | 2016-06-02 |
1114341757 | Tranquility Wellness Center | Internal Medicine | 4910 Jonesboro Rd, #702, Union City, GA 30291-2085 | 2014-02-18 |
1184048902 | Dynamic Learning Centers | Speech-Language Pathologist | 4910 Jonesboro Rd, Union City, GA 30291-2085 | 2014-02-13 |
1114051950 | Visions Care Adult Day Health Center, Inc | Point of Service | 4910 Jonesboro Rd, Bldg 200, Union City, GA 30291-2085 | 2007-03-15 |
1770538860 | Nardia Nichola Watson | Nurse Practitioner | 4910 Jonesboro Rd, Bldg 700 Suite 1, Union City, GA 30291-2085 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
Find all providers in zip 30291 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730625708 | Premed Medical Services, Inc. | Internal Medicine | 8956 Crestview Cir, Union City, GA 30291-6071 | 2017-01-13 |
1902297716 | Yanitza Acevedo | Internal Medicine | 317 8th St Apt 4r, Union City, NJ 07087-4151 | 2015-02-16 |
1740529593 | Wayne Karman Lee | Internal Medicine | 30627 Chimney Ln, Union City, CA 94587-1645 | 2013-02-13 |
1972804789 | Pasteur Medical Group Pa | Internal Medicine | 525 42nd St, Union City, NJ 07087-2687 | 2010-11-10 |
1801121389 | Lochana Manandhar | Internal Medicine | 510 31st St Bsmt, Union City, NJ 07087-3907 | 2009-10-16 |
1164652137 | Holger G Armas Md LLC | Internal Medicine | 2911 Summit Ave Ste 105, Union City, NJ 07087-2312 | 2009-07-23 |
1659539633 | Holger G Armas | Internal Medicine | 2911 Summit Ave, Suite 105, Union City, NJ 07087-2362 | 2008-05-27 |
1366609174 | Maria A Campoalegre | Internal Medicine | 407 39th St, Suite 301, Union City, NJ 07087-4817 | 2008-05-20 |
1255512810 | General Clinica South Pa | Internal Medicine | 4801 Broadway, Union City, NJ 07087-6516 | 2007-11-23 |
1790981819 | Karen Delane Hanks | Internal Medicine | 1509 S 1st St, Union City, TN 38261-5625 | 2007-06-25 |
Find all providers in UNION CITY |
City | UNION CITY |
Zip Code | 30291 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.