Individual
COREY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2499
Mailing address
PO BOX 627, AUBURN, AL 36831-0627
(334) 528-2499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-116120
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-116120
AL
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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