Blanton, Alicia
Blanton, Alicia is an individual health care provider with primary practice located at 5665 Peachtree Dunwoody Rd Ne , Atlanta GA 30342-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Blanton, Alicia can be contacted via phone (404) 851-7324.Contact Information
Primary practice address
5665 Peachtree Dunwoody Rd Ne
Atlanta GA 30342-1701
Phone: (404) 851-7324
Fax: (404) 843-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 000757 | Georgia |
Profile Details
| NPI number | 1376690644 |
|---|---|
| LBN Legal business name | Blanton, Alicia |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Dec 4th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376690644 | NPPES |
| Georgia | MEDICAID | 00202837B |
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