IndividualActive
Jeremiah Blair, PA
NPI 1922640739 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Marietta, GA
Provider details
- NPI number
- 1922640739
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
61 Whitcher St Suite 2100
Marietta, GA 30060
Phone: (770) 423-0595
Fax: (678) 391-5055
Approximate (ZIP-level) locationGet directions
Mailing address
100 Stoneforest Dr Ste 130
Woodstock, GA 30189-4881
Registry dates
- Enumerated
- 2019-10-14
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.