Individual
DR. JOHN C BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 KING AVE., ATHENS, GA 30606
(706) 543-6261
(706) 543-7060
Mailing address
195 KING AVE., ATHENS, GA 30606
(706) 543-6261
(706) 543-7060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
049529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901931A
—
GA
Enumeration date
11/11/2005
Last updated
11/05/2020
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