Individual provider · Type 1 NPI

Walter R. Blase, M.S., A.T.C

Specialist · Atlanta, GA

NPI number 1376516617 Active

Practice location

101 Marietta St NW, Suite 1900
Atlanta, GA 30303-2720

Call (404) 878-3513 Map

Mailing address

605 Bassett Ct SE
Smyrna, GA 30080-5528

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT000742 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

Other specialist providers in Atlanta

See all in Atlanta →

About NPI 1376516617

Walter R. Blase, M.S., A.T.C's National Provider Identifier is 1376516617, issued on Feb 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 13, 2026.