Russell H Blocker, PAAA
Russell H Blocker, PAAA is an Anesthesiology Physician in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
1640 Airport Rd NW Ste 110Kennesaw, GA 30144-7038
Phone: (678) 202-2074
Fax: (678) 290-0479
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Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 003348 (GA) |
|---|
Record details
| NPI number | 1013046374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAAA |
| Sole proprietor | No |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1984 Peachtree Rd Nw, Ste. 515, Atlanta, GA 30309-5219 |
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Scott Edward Bisch
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Walter H Butler, MD
1640 Airport Rd NW Ste 110, Kennesaw, GA 30144-7038 · (678) 202-2074
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