BLAKE LANDRY, PA-C
Physician Assistant
Active
Individual
NPI: 1134477524
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | TA1743 (AL) |
Frequently Asked Questions
NPI 1134477524 is the National Provider Identifier for BLAKE LANDRY, PA-C, a Physician Assistant provider located in Hiram, GA. This NPI was enumerated on August 16, 2012.
BLAKE LANDRY, PA-C practices at 148 BILL CARRUTH PKWY STE 100, Hiram, GA 30141.
Quick Facts
- NPI
- 1134477524
- Type
- Individual
- Enumerated
- Aug 16, 2012
- Last Updated
- Oct 30, 2019
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