Individual provider · Type 1 NPI

Bryan David Blake, MD

Family Medicine Physician · Lithia Springs, GA

NPI number 1316930118 Active

About NPI 1316930118

Bryan David Blake, MD's National Provider Identifier is 1316930118, issued on Aug 26, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lithia Springs, GA. The record was last updated on Jun 30, 2020.