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: BLAKE ALAN MCDONALD CRNA

MEDICARE: BLAKE ALAN MCDONALD CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPRN-CRNA164337GA
2367500000XCertified Registered Nurse Anesthetist28637SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841477163
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAKE ALAN MCDONALD CRNA
Provider Business Mailing Address
First Line : 971 EMMETT YOUNG RD
Second Line :
City : NEWNAN
State : GA
Zip : 30263-5118
Country : US
Telephone Number : 404-877-2639
Fax Number :
Provider Business Practice Location Address
First Line : 1325 SPRING ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3860
Country : US
Telephone Number : 864-725-4671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 03/06/2026

Similar Medicare Providers

1588920607 — KATHERINE GRADIE LOVVORN CRNA
Practice Location Address:
1325 SPRING ST
GREENWOOD, SC
29646-3860
Practice Phone: 864-725-4111
Practice Fax:
1609349380 — JOHN AARON CONNER CRNA
Practice Location Address:
1325 SPRING ST
GREENWOOD, SC
29646-3860
Practice Phone: 864-725-4111
Practice Fax:
1881101756 — SHAWN RADFORD
Practice Location Address:
1325 SPRING ST
GREENWOOD, SC
29646-3860
Practice Phone: 864-725-4111
Practice Fax:
1205822319 — LINCOLN M MCGINNIS MD
Practice Location Address:
1325 SPRING ST
GREENWOOD, SC
29646-3860
Practice Phone: 864-725-4111
Practice Fax:
1265429930 — WILLIAM G DEVORE MD
Practice Location Address:
1325 SPRING ST
GREENWOOD, SC
29646-3860
Practice Phone: 864-725-4111
Practice Fax:
1346237013 — DR. DEVENDRA T SHANTHA M.D.
Practice Location Address:
1325 SPRING ST
GREENWOOD, SC
29646-3860
Practice Phone: 864-725-4111
Practice Fax:

Directions to “ BLAKE ALAN MCDONALD CRNA” 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.