Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Daphne Reene Blakley, PA-C

Individual provider Physician Assistant · NPI 1538353057

Mrs. Daphne Reene Blakley, PA-C is a Physician Assistant in Marietta, Georgia. Works from 3 locations. Licensed in Georgia and Missouri.

Licensed in
GA, MO
In the registry since
2007
Specialties on file
2
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

45 S Ave SE Ste 5
Marietta, GA 30060-2538
Phone: (919) 391-7202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 S 4th St Ste 550, Saint Louis, MO 63102-1897 — (919) 391-7202
  • 5501 Fortunes Ridge Dr Ste P, Durham, NC 27713-6102 — (919) 391-7202

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024033212 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 004396 (GA)

Record details

NPI number1538353057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026

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