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NPI Code Detail

MEDICARE: CHARTNEY BLAIR

MEDICARE: CHARTNEY BLAIR
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
1363L00000XNurse PractitionerXXXXXXGA

General Provider Information

NPI Number : 1730047952
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARTNEY BLAIR
Provider Business Mailing Address
First Line : 2180 SATELLITE BLVD STE 400
Second Line :
City : DULUTH
State : GA
Zip : 30097-4927
Country : US
Telephone Number : 517-879-8817
Fax Number :
Provider Business Practice Location Address
First Line : 2180 SATELLITE BLVD STE 400
Second Line :
City : DULUTH
State : GA
Zip : 30097-4927
Country : US
Telephone Number : 517-879-8817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ CHARTNEY BLAIR ” Practice Location

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