IndividualActive
Jennifer Blanda, MD
NPI 1235691882 · Sports Medicine (Orthopaedic Surgery) Physician · Marietta, GA
Provider details
- NPI number
- 1235691882
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- A193129 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
677 Church St Ne
Marietta, GA 30060-1101
Phone: (330) 414-9471
Approximate (ZIP-level) locationGet directions
Mailing address
677 Church St Ne
Marietta, GA 30060-1101
Additional practice locations (1)
- 6801 Park Ter Ste 500Los Angeles, CA 90045-9212Phone: (330) 414-9471
Registry dates
- Enumerated
- 2019-04-03
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.