Dr. Sean Blake
Orthopaedic Surgeon Surgery of the Hand Orthopaedic Hand Surgeon
2300 Manchester Expy Ste 101a
Columbus
, Georgia 31904-6802
Dr. Sean Blake
Orthopaedic Surgeon Surgery of the Hand Orthopaedic Hand Surgeon
2300 Manchester Expy Ste 101a
Columbus
, Georgia 31904-6802
(706) 322-2891
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Sean Blake
- 2300 Manchester Expy Ste 101a
- Columbus, GA
- Zip : 31904-6802
- Fax : (706) 322-2891
- Phone : (706) 322-6646
Second Address
- Dr. Sean Blake
- 2300 Manchester Expy Ste 101a
- Columbus, GA
- Zip : 31904-6802
- Fax : (706) 322-2891
- Phone : (706) 322-6646
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FAQs
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Is Dr. Sean Blake a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 069875 | GA |
| Y | 207XS0106X | Orthopaedic Hand Surgeon | 069875 | GA |
| N | 207XS0106X | Orthopaedic Hand Surgeon | S0431 | TX |
| N | 2086S0105X | Surgery of the Hand | 069875 | GA |
National Provider Identifier
| NPI | 1497067540 |
|---|---|
| Provider Name | Dr. Sean Blake |
| First Address | Columbus, GA 31904-6802 |
| Second Address | Columbus, GA 31904-6802 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2010 |
| Last Update Date | 10/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 069875 | MEDICAL LICENSE (01) | GA |
| 52606838-001 | BCBSGA (01) | GA |
| 600-88733 | BCBS-AL (01) | AL |
| S0431 | TX MEDICAL LICENSE (01) | TX |
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.