Georgia
Composite Medical Board
BLALOCK, CLYDE PHILLIP, MD
Medical - Physician
License number
024901
Date granted
06/14/1983
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
955 RIBAUT ROAD
georgiadoctors.net
ID 38028984
LAST UPDATED 2024-02-05 04:35:59 UTC
LAST UPDATED 2024-02-05 04:35:59 UTC
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