Blanton, Micahel S

Blanton, Micahel S is an individual health care provider with primary practice located at 1968 Peachtree Road Nw , Atlanta GA 30309-1281. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Blanton, Micahel S can be contacted via phone (404) 351-1754.

Contact Information

Primary practice address
1968 Peachtree Road Nw Atlanta GA 30309-1281
Phone: (404) 351-1754
Fax: (404) 351-7121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00638 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 000638 Georgia

Profile Details

NPI number 1487674156
LBN Legal business name Blanton, Micahel S
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 1st, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487674156 NPPES
Georgia MEDICAID 000412156
Georgia MEDICAID 455538491E

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