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Blake Thomas Bjornstad, PA-AA

Anesthesiologist Assistant in Stockbridge, GA. Individual provider (NPI-1).

NPI number1417843277
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1417843277
Entity type
Individual (NPI-1)
Name
Mr. Blake Thomas Bjornstad
Credential
PA-AA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2025
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant13448GAYes

Practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Phone 678-604-1053

Mailing address

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Phone 404-851-8917 · Fax 404-303-3636

Other practice locations

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Phone 404-851-8917 · Fax 404-303-3636

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