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Individual

AMY RENEE BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2566
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
041404
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
041404
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000865697A
GA
Enumeration date
08/30/2006
Last updated
11/06/2023
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