License holder summary

BLAKE, WYATT KENNY, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLAKE, WYATT KENNY, MD is 4421 CARNES STREET, Acworth 30101. This doctor license is current. The license was granted 08/05/1999 and expired on 04/30/2017.

Georgia

Composite Medical Board

BLAKE, WYATT KENNY, MD
Medical - Physician
License number
047702
Date granted
08/05/1999
Date expires
04/30/2017
Class
Medical - Physician
Status
Active
Address
4421 CARNES STREET
georgiadoctors.net
ID 38028974
LAST UPDATED 2024-04-30 18:06:18 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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