Individual
CHRISTY BLANCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4181 HOSPITAL DR NE STE 401, COVINGTON, GA 30014-2541
(678) 342-8660
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41405
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00748635A
—
GA
05
—
85002315G
—
GA
Enumeration date
10/11/2005
Last updated
10/07/2021
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