NPI 1780927269

Blake Robert Smith, MD

Practitioner Otolaryngology Physician Duluth, GA

Practice location

Address: 3650 Steve Reynolds Blvd Dept of, Duluth, GA 30096-4506
Phone: (404) 365-0966
Mailing address: 9500 Euclid Ave Head and Neck Institute, Cleveland Clinic, Cleveland, OH 44195-0001

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 079904 (GA)

Other Otolaryngology providers in Georgia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1780927269
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2013
Record last updated: 17 Jan 2019

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.