License holder summary

BIVINS, BLAKE STEPHEN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BIVINS, BLAKE STEPHEN, MD is 163 10TH STREET, SE, Cochran 31014. This doctor license is not current. The license was granted 07/15/1953 and expired on 04/30/2013.

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

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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