Individual
DR. BLAYNE ELYSE THOMASON SANTA MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 15TH ST # BA7515, AUGUSTA, GA 30912-5775
(706) 618-0066
Mailing address
69 PAMPAS WAY UNIT 6904, AUGUSTA, GA 30904-5775
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17440
GA
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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