Individual provider · Type 1 NPI
Blake Anthony Landry, PA-C
Physician Assistant · Hiram, GA
Practice location
148 Bill Carruth Pkwy Ste 100
Hiram, GA 30141-3756
Fax (678) 363-5170
Other practice locations
- 3719 Dauphin St, Mobile, AL 36608-1753 · (251) 435-7223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 7061 (GA) |
| Physician Assistant | 363A00000X | TA1743 (AL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1134477524
Blake Anthony Landry, PA-C's National Provider Identifier is 1134477524, issued on Aug 16, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hiram, GA. The record was last updated on May 11, 2026.