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-- C BLAKE AASGAARD -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1447234869
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
1670 CLAIRMONT RD, DECATUR, GA, 300334004
Phone
(404) 321-6111

Specialties & Taxonomies

Physician Assistant Primary License: GA #02963

All Addresses

MAILING

1597 LANCASTER DR

MARIETTA, GA, 300665915

(770) 218-9195

LOCATION

1670 CLAIRMONT RD

DECATUR, GA, 300334004

(404) 321-6111