NPI 1013378165

Dr Johnny J Di Blasi DO PC

Organisation General Practice Physician Gainesville, GA

Practice location

Address: 3 Washington Ave, Gainesville, GA 30501-4135
Phone: (904) 482-9673

Authorised official

Name: Johnny J Di Blasi
Title: Owner
Phone: (904) 482-9673

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 75206 (GA)

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Registry record

NPI: 1013378165
Entity type: Organization
NPI issued: 17 Mar 2016
Record last updated: 17 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.