SearchGeorgia183500000X

Thaddeus Blue, PHARMD

NPI 1770807661 · on the registry since 2010

Practice

Address
1153 Vinings Place Way Se
Mableton, GA 30126
Phone
(678) 933-1711
Fax
(678) 324-7566

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-21

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