Individual provider · Type 1 NPI

Garrett Blalock, PA-C

Medical Physician Assistant · Tifton, GA

NPI number 1558739003 Active

Practice location

901 18th St E
Tifton, GA 31794-3648

Call (229) 353-6051 Map

Mailing address

2081 Chula Brookfield Rd
Tifton, GA 31794-2662

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7724 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1558739003

Garrett Blalock, PA-C's National Provider Identifier is 1558739003, issued on Sep 14, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tifton, GA. The record was last updated on Nov 19, 2020.