Provider Demographics
NPI:1588811871
Name:BINION, LOUIS BLOUNT (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:BLOUNT
Last Name:BINION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 849
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180
Mailing Address - Country:US
Mailing Address - Phone:770-459-1060
Mailing Address - Fax:770-459-1060
Practice Address - Street 1:125 CHURCH LN.
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-0849
Practice Address - Country:US
Practice Address - Phone:770-459-1060
Practice Address - Fax:770-459-1060
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026456207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine