Kizuwanda Blackburne, RPAC
NPI #1417020405 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1417020405
- Entity Type
- Individual
- Name
- Kizuwanda Blackburne, RPAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- RPAC
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 145 EAGLES WALK
- Address 2
- SUITE A
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281-7340
- Phone
- (770) 389-3855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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