| Dr Johnny J Di Blasi Do Pc | |
|
3 Washington Ave Gainesville GA 30501-4135 | |
| (904) 482-9673 | |
| Not Available |
| Full Name | Dr Johnny J Di Blasi Do Pc |
|---|---|
| Speciality | General Practice |
| Location | 3 Washington Ave, Gainesville, Georgia |
| Authorized Official Name and Position | Johnny J Di Blasi (OWNER) |
| Authorized Official Contact | 9044829673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnny J Di Blasi Do Pc 3 Washington Ave Gainesville GA 30501-4135 Ph: (904) 482-9673 | Dr Johnny J Di Blasi Do Pc 3 Washington Ave Gainesville GA 30501-4135 Ph: (904) 482-9673 |
| NPI Number | 1013378165 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013378165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 75206 (Georgia) | Primary |
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