BRIAN DEWAYNE BLANTON

VALDOSTA, GA
NPI1265605372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  5290)
Enumeration Date2008-04-09
Last Update Date2012-03-07
Business Address
Mr. BRIAN DEWAYNE BLANTON PA-C
3294 NORTH OAK ST. EXT.
VALDOSTA, GA 31602
Phone number: 229-241-1188
Mailing Address
Mr. BRIAN DEWAYNE BLANTON PA-C
3294 NORTH OAK ST. EXT.
VALDOSTA, GA 31605
Phone number: 229-241-1188
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