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MR. JAMES S BLASKO M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619997384

Individual Registrant:
MR. JAMES S BLASKO M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
120 E CARTER AVE  BLACKSHEAR, GA 31516-1561 US
Tel: 912-449-4426  Fax: 912-449-1517

Contact information for business:
120 E CARTER AVE  BLACKSHEAR, GA 31516-1561 US
Tel: 912-449-4426  Fax: 912-449-1517

Registration Information:
NPI: 1619997384
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA047298

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00866687BGA05




HEALTH CARE JOBS GA - Page 1



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