Healthcare Provider Details

I. General information

NPI: 1568306793
Provider Name (Legal Business Name): ALAINA LEE BLANCHARD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 POPLAR RD
NEWNAN GA
30265-1618
US

IV. Provider business mailing address

45 PACES LANDING LN
NEWNAN GA
30263-4190
US

V. Phone/Fax

Practice location:
  • Phone: 770-400-1000
  • Fax:
Mailing address:
  • Phone: 678-283-6592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberAPRN-NP297720
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: