Russell H Blocker
Anesthesiologist
1640 Airport Rd Nw Ste. 110
Kennesaw
, Georgia 30144-7038
Russell H Blocker
Anesthesiologist
1640 Airport Rd Nw Ste. 110
Kennesaw
, Georgia 30144-7038
(404) 351-1754
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Russell H Blocker
- 1984 Peachtree Rd Nw Ste. 515
- Atlanta, GA
- Zip : 30309-5219
- Phone : (404) 351-1754
Second Address
- Russell H Blocker
- 1640 Airport Rd Nw Ste. 110
- Kennesaw, GA
- Zip : 30144-7038
- Fax : (678) 290-0479
- Phone : (678) 202-2074
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 003348 | GA |
National Provider Identifier
| NPI | 1013046374 |
|---|---|
| Provider Name | Russell H Blocker |
| First Address | Atlanta, GA 30309-5219 |
| Second Address | Kennesaw, GA 30144-7038 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 08/07/2007 |
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.