BLAKE ANTHONY LANDRY

HIRAM, GA
NPI1134477524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  TA1743)
Enumeration Date2012-08-16
Last Update Date2019-10-30
Business Address
BLAKE ANTHONY LANDRY PA-C
148 BILL CARRUTH PKWY STE 100
HIRAM, GA 30141-3756
Phone number: 770-422-1372
Mailing Address
BLAKE ANTHONY LANDRY PA-C
148 BILL CARRUTH PKWY STE 100
HIRAM, GA 30141-3756
Phone number: 770-422-1372
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