BRIAN D BLANTON JR.

UROLOGICAL CLINIC OF VALDOSTA

Dr BRIAN D BLANTON JR. is a male medical professional, specializing in Physician Assistant. He graduated in 2008.

Contact

UROLOGICAL CLINIC OF VALDOSTA

3294 N OAK ST EXT
VALDOSTA
GA
316051017

Tel: 2292411188

BRIAN D BLANTON JR. Information

Npi 1265605372
Pac Id 8820157258
Professional Enrollment Id I20081030000208
Last Name BLANTON
First Name BRIAN
Middle Name D
Suffix JR.
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UROLOGICAL CLINIC OF VALDOSTA
Group Practice Pac Id 1456419837
Number Of Group Practice Members 4
Line 1 Street Address 3294 N OAK ST EXT
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VALDOSTA
State GA
Zip Code 316051017
Phone Number 2292411188
Hospital Affiliation Ccn 1 110122
Hospital Affiliation Lbn 1 SOUTH GEORGIA MEDICAL CENTER
Hospital Affiliation Ccn 2 111308
Hospital Affiliation Lbn 2 CLINCH MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 101311
Hospital Affiliation Lbn 3 MADISON COUNTY MEMORIAL HOSPITAL
Hospital Affiliation Ccn 4 111326
Hospital Affiliation Lbn 4 SGMC LANIER CAMPUS
Hospital Affiliation Ccn 5 110234
Hospital Affiliation Lbn 5 SGMC BERRIEN CAMPUS
Professional Accepts Medicare Assignment Y

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