Blanton, Brian Dewayne

Blanton, Brian Dewayne is an individual health care provider with primary practice located at 3294 North Oak St. Ext. , Valdosta GA 31602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blanton, Brian Dewayne can be contacted via phone (229) 241-1188.

Contact Information

Primary practice address
3294 North Oak St. Ext. Valdosta GA 31602
Phone: (229) 241-1188
Fax: (229) 245-7106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5290 Georgia

Profile Details

NPI number 1265605372
LBN Legal business name Blanton, Brian Dewayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Mar 7th, 2012 - about 13 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.

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