Provider Demographics
NPI:1558342352
Name:BLAIR, FIONA A (MD)
Entity Type:Individual
Prefix:DR
First Name:FIONA
Middle Name:A
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 HILLANDALE DR
Mailing Address - Street 2:SUITE 355
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1884
Mailing Address - Country:US
Mailing Address - Phone:404-501-8300
Mailing Address - Fax:678-990-1446
Practice Address - Street 1:5910 HILLANDALE DR
Practice Address - Street 2:SUITE 355
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-1884
Practice Address - Country:US
Practice Address - Phone:404-501-8300
Practice Address - Fax:678-990-1446
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041729174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist