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Contact Information

JEREMIAH BLAIR, PA
61 WHITCHER ST SUITE 2100
MARIETTA, GA30060
 Phone: 770-423-0595
 Fax: 678-391-5055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEREMIAH BLAIR · (Male)

NPI Number 1922640739
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/14/2019
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 9359
Hospital affiliation(s)
  • WELLSTAR COBB HOSPITAL - (Acute Care)
    3950 AUSTELL RD
    AUSTELL, GA 30106
  • WELLSTAR KENNESTONE HOSPITAL - (Acute Care)
    677 CHURCH STREET
    MARIETTA, GA 30060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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