Blake E. Milner, M.D. P.C.
Organization Active NPI Family Medicine Physician · Eastman, GA
NPI 1275748535 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1275748535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 052789 (GA)
- Legal business name
- BLAKE E. MILNER, M.D. P.C.
- Practice address
- 1111 Griffin Ave
Ste. 1B
Eastman, GA 31023-9101 - Phone
- (478) 374-8998
- Fax
- (478) 374-8525
- NPI assigned
- May 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Blake E. Milner, M.D.
- Title
- President
- Phone
- (478) 374-8998
Practitioners 3
-
Blake E Milner, M.D.
-
Bart Steele Milner, P.A.
National Provider Directory
Locations
1111 Griffin Ave
Ste 1B
Eastman, GA 31023
Phone (478) 374-8998
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 052789 | GA | Yes |
Addresses
Primary practice location
1111 Griffin Ave
Ste. 1B
Eastman, GA 31023-9101
Mailing address
1111 Griffin Ave
Ste. 1B
Eastman, GA 31023-9101
Phone (478) 374-8998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170591 | Other | GA | WELLCARE OF GEORGIA |
| 043644539A | Medicaid | GA | |
| 275410 | Other | GA | PEACH STATE HEALTH PLAN |
| 52070342 | Other | GA | BLUE CROSS BLUE SHIELD OF |
Other providers in Eastman, GA
- Roger Benjamin Batchelor
- Bearden Chiropractic Center
- Bearden Chiropractic Center
- Bio-Medical Applications of Georgia, Inc.
- George Mack Bird III
- Candace H Brown
- Jennifer Elizabeth Brown
- Pamela Lynn Brown
- Kristen Nicole Bryant
- Ashley Nichole Butler
All providers in Eastman, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.