Individual provider · Type 1 NPI

Dedra J. Blalock

Cardiovascular Disease Physician · Atlanta, GA

NPI number 1619063153 Active

Practice location

550 Peachtree St
Atlanta, GA 30308

Call (404) 686-7431 Map

Mailing address

550 Peachtree St NE
Atlanta, GA 30308-2212

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XAPRN-NP089049 (GA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1619063153

Dedra J. Blalock's National Provider Identifier is 1619063153, issued on Oct 4, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 20, 2025.