NPI 1225010382

Mark H Blanchard, MD

Practitioner Diagnostic Radiology Physician Moultrie, GA

Practice location

Address: 3131 S Main St, Moultrie, GA 31768-6925
Phone: (229) 985-8802
Fax: (229) 891-2016
Mailing address: PO Box 2977, Moultrie, GA 31776-2977

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 043555 (GA)

Other Radiology providers in Georgia →

Registry record

NPI: 1225010382
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2005
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.