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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIZUWANDA BLACKBURNE, RPAC

Active

KIZUWANDA BLACKBURNE, RPAC is a Physician Assistant healthcare provider located in STOCKBRIDGE, Georgia. NPI 1417020405 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STOCKBRIDGE, GA

Registration Details

NPI Number
1417020405
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2006 (19.708327699758 yrs)
Last Updated
Apr 1, 2008
License
5126 (GA)

Practice Information

Address
145 EAGLES WALK
SUITE A
STOCKBRIDGE, GA, 302817340
Browse GA providers · Browse ZIP 30281
Phone
7703893855
Fax
7704748078
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STOCKBRIDGE, GA

Name Credential NPI
GRACE BOGERT PA-C 1831195262
MARTHA SIKES PA-C 1891791208
A MATTHEW BRUNNER PA-C 1811993223
KATHRYN JOAN SHELLEY P.A. 1215937578
MS. CYNTHIA ELLEN HUNT PA-C 1881687937
SHERRELL MONIQUE FORSTON PA C 1518923218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.