Individual provider · NPI-1
Dr. Keith A Blanks, D.O
Emergency Medicine · Columbus, GA
NPI number1255379640
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1255379640
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith A Blanks
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 052042 | GA | Yes |
Practice location
710 Center StColumbus, GA 31901-1527
Phone 706-571-1200
Mailing address
14050 Nw 14th StSuite 190
Sunrise, FL 33323-2865
Phone 800-424-3672 · Fax 954-377-3042
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