Georgia
Composite Medical Board
BIVINS, BLAKE STEPHEN, MD
Medical - Physician
License number
006867
Date granted
07/15/1953
Date expires
04/30/2013
Class
Medical - Physician
Status
Lapsed
Address
163 10TH STREET, SE
georgiadoctors.net
ID 38028807
LAST UPDATED 2024-04-03 11:36:17 UTC
LAST UPDATED 2024-04-03 11:36:17 UTC
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