Dr. Jacob Nathan Blatt
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
1700 Hospital South Dr Suite 409
Austell
, Georgia 30106-6810
Dr. Jacob Nathan Blatt
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
1700 Hospital South Dr Suite 409
Austell
, Georgia 30106-6810
(770) 528-9926
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. Jacob Nathan Blatt
- 55 Whitcher St Ne Suite 350
- Marietta, GA
- Zip : 30060-1155
- Fax : (770) 528-9926
- Phone : (770) 424-6893
Second Address
- Dr. Jacob Nathan Blatt
- 1700 Hospital South Dr Suite 409
- Austell, GA
- Zip : 30106-6810
- Fax : (770) 528-9926
- Phone : (770) 424-6893
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 057935 | GA |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 057935 | GA |
National Provider Identifier
| NPI | 1083892111 |
|---|---|
| Provider Name | Dr. Jacob Nathan Blatt |
| First Address | Marietta, GA 30060-1155 |
| Second Address | Austell, GA 30106-6810 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2008 |
| Last Update Date | 15/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 859089115A | (05) | GA |
| 859089115B | (05) | GA |
| 859089115C | (05) | GA |
| 859089115D | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.