DWIGHT D BLAKE


Address: 4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, GA 30291-2085
Phone: 7709647736

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 51117 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 4910 JONESBORO RD
BLDG. 700, STE. 1
City UNION CITY
State GA
Zip Code 30291-2085

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City UNION CITY
Zip Code 30291

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Dataset Information

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.

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