Individual
BLAKE ALAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4671
Mailing address
971 EMMETT YOUNG RD, NEWNAN, GA 30263-5118
(404) 877-2639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28637
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA164337
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN164337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2886
—
SC
Enumeration date
01/29/2008
Last updated
03/06/2026
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