Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brian Dewayne Blanton Jr., PA-C

Individual provider Physician Assistant · NPI 1265605372

Mr. Brian Dewayne Blanton Jr., PA-C is a Physician Assistant in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3294 N Oak St Ext
Valdosta, GA 31602
Phone: (229) 241-1188
Fax: (229) 245-7106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5290 (GA)

Record details

NPI number1265605372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESMarch 7, 2012

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