NPI 1013046374

Russell H Blocker, PAAA

Practitioner Anesthesiology Physician Kennesaw, GA

Practice location

Address: 1640 Airport Rd NW STE. 110, Kennesaw, GA 30144-7038
Phone: (678) 202-2074
Fax: (678) 290-0479
Mailing address: 1984 Peachtree Rd NW STE. 515, Atlanta, GA 30309-5219

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 003348 (GA)

Other Anesthesiology providers in Georgia →

Registry record

NPI: 1013046374
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2007
Record last updated: 8 Jul 2007

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.