Mrs. Charlene Carla Blache
M.D. | Pediatrics | Female
Mrs. Charlene Carla Blache, M.D. is a Valdosta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Charlene Carla Blache is
406 M Northside Drive, Valdosta, Georgia - 31602-1853. She can be contacted on phone at
229-241-0059 and fax number 229-241-2088.
Mrs. Charlene Carla Blache is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Charlene Carla Blache is
1538139712 which was assigned by NPPES on 23 Jan, 2006 and it was last updated on 08 Sep, 2015.
Mrs. Charlene Carla Blache license number is
045728 for Pediatrics (208000000X) in Georgia.
Mrs. Charlene Carla Blache is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Charlene Carla Blache basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Charlene Carla Blache |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mrs. Charlene Carla Blache address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 406 M Northside Drive
Valdosta, GA, 31602-1853
United States |
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| Phone Number : | 229-241-0059 |
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| Fax Number : | 229-241-2088 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538139712 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Jan, 2006 |
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| Last Updated On : | 08 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Charlene Carla Blache are as mentioned. Primary taxonomy code for Mrs. Charlene Carla Blache, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 045728 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Charlene Carla Blache such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000816593B | MEDICAID | GA | |
| 000816593L | MEDICAID | GA | |
| 000816593K | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 406 M Northside Drive
Valdosta, GA, 31602-1853
United States |
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| Phone Number : | 229-241-0059 |
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| Fax Number : | 229-241-2088 |
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Business Location:
Patients can refer following map for directions to
Mrs. Charlene Carla Blache practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.