| W Kenny Blake Md Llc | |
|
545 Venture Court Monticello GA 31064 | |
| (706) 468-7002 | |
| (706) 468-7020 |
| Full Name | W Kenny Blake Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 545 Venture Court, Monticello, Georgia |
| Authorized Official Name and Position | Wyatt K Blake (OWNER) |
| Authorized Official Contact | 7064687002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W Kenny Blake Md Llc 545 Venture Court Monticello GA 31064 Ph: (706) 468-7002 | W Kenny Blake Md Llc 545 Venture Court Monticello GA 31064 Ph: (706) 468-7002 |
| NPI Number | 1093011314 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093011314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
Jasper Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 898 College St, Monticello, GA 31064 Phone: 706-468-6411 Fax: 706-468-9880 | |
Venture Medical Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 Venture Ct, Monticello, GA 31064 Phone: 706-468-7002 Fax: 706-468-7020 | |
Jameson A Estes, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Venture Ct, Monticello, GA 31064 Phone: 706-468-7002 | |
Shannon T. Barton Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Venture Court, Monticello, GA 31064 Phone: 706-468-7002 Fax: 706-468-7020 |