Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Charlene Carla Blache, MD

Individual provider Pediatrics Physician · NPI 1538139712

Mrs. Charlene Carla Blache, MD is a Pediatrics Physician in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

406 M Northside Dr
Valdosta, GA 31602-1853
Phone: (229) 241-0059
Fax: (229) 241-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 045728 (GA)

Record details

NPI number1538139712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 23, 2006
Last updated in NPPESSeptember 8, 2015

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