Andrea M Blair, MS, LAT,ATC
Specialist/Technologist, Athletic Trainer in Macon, GA. Individual provider (NPI-1).
NPI number1861340887
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1861340887
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Andrea M Blair
- Credential
- MS, LAT,ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2026
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT004493 | GA | Yes |
Other names
- Andrea McCoy (Other Name)
Practice location
5665 New Forsyth RdMacon, GA 31210-5770
Phone 478-238-5757
Mailing address
5131 Idlewood DrMacon, GA 31210-2946
Phone 678-227-9801
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