person
Dr. Roger Byron Blair, PA-C
Medical Physician Assistant in Ringgold, Georgia
NPI 1700180072

Roger Byron Blair is a Medical Physician Assistant based in Dalton, GA and is specialized in Medical. Roger Byron Blair practices in Ringgold, GA and has the professional credentials of PA-C. The NPI Number for Roger Byron Blair is 1700180072 and holds a License No. 6111 (Georgia).

The current practice location address for Roger Byron Blair is 6120 Alabama Hwy, Ringgold, GA and can be reached out via phone at 706-935-6442 and via fax at 706-935-6441.

Location: 6120 Alabama Hwy, Ringgold, GA, 30720-3009
person
Provider Profile Details
NPI Number
1700180072
Provider Name
Roger Byron Blair
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6120 Alabama Hwy, Ringgold, GA, 30720-3009
Phone Number
706-935-6442
Fax Number
706-935-6441
Provider Enumeration Date
12/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003119262B 05 GA
institution
Provider Business Practice Location Address Details
Address
6120 Alabama Hwy
City
State
Zip
30736-2804
Phone Number
706-935-6442
Fax Number
706-935-6441
person
Provider Business Mailing Address Details
Address
6120 Alabama Hwy
City
State
Zip
30736-2804
Phone Number
706-935-6442
Fax Number
706-935-6441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
6111 (Georgia)
Definition
Definition to come...
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