Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 35083044 | OH |
Y | 207RH0003X | Hematology & Oncology | 078757 | GA |
N | 207RH0003X | Hematology & Oncology | 35.083044 | OH |
NPI | 1013922863 |
---|---|
Provider Name | William G. Blum |
First Address | Atlanta, GA 30322 |
Second Address | Atlanta, GA 30322-1280 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2448515 | (05) | OH |
H97560 | (02) | OH |