| Blake Anthony Landry, PA-C | |
|
148 Bill Carruth Pkwy Ste 100, Hiram, GA 30141-3756 | |
| (770) 422-1372 | |
| (678) 363-5170 |
| Full Name | Blake Anthony Landry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 148 Bill Carruth Pkwy Ste 100, Hiram, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134477524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TA1743 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Anthony Landry, PA-C 148 Bill Carruth Pkwy Ste 100, Hiram, GA 30141-3756 Ph: (770) 422-1372 | Blake Anthony Landry, PA-C 148 Bill Carruth Pkwy Ste 100, Hiram, GA 30141-3756 Ph: (770) 422-1372 |
Brittany Park Jeffers, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 180, Hiram, GA 30141 Phone: 770-445-4915 | |
Sarah Forrestal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141 Phone: 770-445-5666 | |
Manogna Puchhalapalli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 | |
Anahid A Ebrahimi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy, Suite 3600, Hiram, GA 30141 Phone: 678-486-5500 Fax: 678-486-5502 | |
Miss Brittany Tara Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 76 Highland Pavilion Ct, Suite 133, Hiram, GA 30141 Phone: 770-439-1172 Fax: 706-378-1204 | |
Erin Landry, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 |