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Search › Georgia › Emergency Medicine Physician

Blake Illston, D.O

NPI 1487876355 · on the registry since 2007

Practice

Address
300 W Hospital Rd
Fort Gordon, GA 30905
Phone
(706) 787-9285
Organisation at this address
Ddeamc
Amc Eisenhower
United States Army
United States Army
United States Army
Inferred from a shared address, not stated in the registry.
Clinicians at this address
270

Registry record

Primary taxonomy
Emergency Medicine Physician
207P00000X
Also registered as
Emergency Medical Services (Emergency Medicine) Physician
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia