| Doctor Name: | DR. JACOB NATHAN BLATT |
| NPI Number: | 1083892111 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 057935 |
| Business Practice Address: | 1700 Hospital South Dr Suite 409 Austell, GA - 301066810 |
| Business Phone Number: | 7704246893 |
| Business Fax Number: | 7705289926 |
| Mailing Address: | 55 Whitcher St Ne, Suite 350 MARIETTA |
| State: | GA |
| Postal Code: | 300601155 |
| Phone Number: | 7704246893 |
| Fax Number: | 7705289926 |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 057935 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |