Individual provider · Type 1 NPI

Blake Jeffrey Illston, DO

Emergency Medicine Physician · Fort Gordon, GA

NPI number 1487876355 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Call (706) 787-9285 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician 207PE0004XRTP001882 (GA)
Emergency Medicine Physician Primary 207P00000X68035 (GA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1487876355

Blake Jeffrey Illston, DO's National Provider Identifier is 1487876355, issued on May 2, 2007. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 29, 2026.