MARK H BLANCHARD MD NPI 1225010382

NPI Information

  • NPI: 1225010382
  • Provider Name: MARK H BLANCHARD, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 3131 S MAIN ST
    MOULTRIE, GA
    ZIP 31768
  • Phone: (229) 985-8802

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NPI Details

Mark H Blanchard, MD is a diagnostic radiology radiology in Moultrie, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark H Blanchard, MD NPI is 1225010382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3131 S MAIN ST
MOULTRIE, GA
ZIP 31768-925
Phone: (229) 985-8802
Fax: (229) 891-2016

The enumeration date for this NPI number is 11/15/2005 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology043555GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130BDGQGMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2F99664MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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