Individual
JANN LOU BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Mailing address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
044171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000832037A
—
GA
Enumeration date
05/03/2006
Last updated
07/31/2012
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