Search › Georgia › 363A00000X
Brian Blanton, PA-C
NPI 1265605372 · on the registry since 2008
Practice
- Address
- 3294 North Oak St. Ext.
Valdosta, GA 31602 - Phone
- (229) 241-1188
- Fax
- (229) 245-7106
- Organisation at this address
- Urological Clinic Of Valdosta Pc
Urological Clinic Of Valdosta Ambulatory Surgical Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia