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Contact Information

BLAKE A PUGH, PT
12220 BIRMINGHAM HWY BLDG 10, STE C
MILTON, GA30004
 Phone: 770-686-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BLAKE A PUGH · (Male)

NPI Number 1134314107
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/12/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PT9191
  • GA Other GRP7336 MEDICARE GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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