Individual
MRS. ANDREA M BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT,ATC
Contact information
Practice address
5665 NEW FORSYTH RD, MACON, GA 31210-5770
(478) 238-5757
Mailing address
5131 IDLEWOOD DR, MACON, GA 31210-2946
(678) 227-9801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004493
GA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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