Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN DEWAYNE BLANTON JR., PA-C
ActiveMR. BRIAN DEWAYNE BLANTON JR., PA-C is a Physician Assistant healthcare provider located in VALDOSTA, Georgia. NPI 1265605372 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VALDOSTA, GA
Registration Details
- NPI Number
- 1265605372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2008 (18.363295168384 yrs)
- Last Updated
- Mar 7, 2012
- License
-
5290 (GA)
Practice Information
- Address
-
3294 NORTH OAK ST. EXT.VALDOSTA, GA, 31602Browse GA providers · Browse ZIP 31602
- Phone
- 2292411188
- Fax
- 2292457106
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL STEPHEN CHAMMOUN | PA | 1962404541 |
| SHAWN E TYWON | PA | 1679541098 |
| GREGORY M BEACH | PA | 1548238736 |
| BRYAN SHIVER | PA | 1538138672 |
| MATTHEW ALLAN THOMAS | PA-C | 1093759011 |
| STEPHANIE P YOUNG | P.A. | 1851329155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.