DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARC BLAINE ANDERSON

MEDICARE: MARC BLAINE ANDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant12617GA

General Provider Information

NPI Number : 1609613629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC BLAINE ANDERSON
Provider Business Mailing Address
First Line : 1200 MEMORIAL DR
Second Line :
City : DALTON
State : GA
Zip : 30720-2529
Country : US
Telephone Number : 706-272-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1200 MEMORIAL DR
Second Line :
City : DALTON
State : GA
Zip : 30720-2529
Country : US
Telephone Number : 706-272-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2024
Last Update Date : 01/22/2026

Similar Medicare Providers

1629927447 — EMMA CATHERINE HEIDEN
Practice Location Address:
1200 MEMORIAL DR
DALTON, GA
30720-2529
Practice Phone: 706-272-6000
Practice Fax:
1144955956 — MR. JUSTIN MATTHEW GLAZE MSN, APRN, FNP-C
Practice Location Address:
1200 MEMORIAL DR
DALTON, GA
30720-2529
Practice Phone: 706-272-6000
Practice Fax:
1952718124 — MUHAMMAD KHALEEQ AHMED MBBS
Practice Location Address:
1200 MEMORIAL DR
DALTON, GA
30720-2529
Practice Phone: 706-205-6394
Practice Fax:
1649139437 — WHITNEY VICTORIA ASHE PHARMD
Practice Location Address:
1200 MEMORIAL DR
DALTON, GA
30720-2529
Practice Phone: 706-272-6450
Practice Fax: 706-272-6451
1003231416 — MRS. JESSICA SANDERS FNP
Practice Location Address:
1200 MEMORIAL DR
DALTON, GA
30720-2529
Practice Phone: 706-272-6000
Practice Fax:
1457871949 — AMY MARIE TERRY FNP-C
Practice Location Address:
1200 MEMORIAL DR
DALTON, GA
30720-2529
Practice Phone: 423-240-3965
Practice Fax:

Directions to “ MARC BLAINE ANDERSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.