Individual provider · Type 1 NPI

Kizuwanda Blackburne, RPAC

Physician Assistant · Stockbridge, GA

NPI number 1417020405 Active

Practice location

145 Eagles Walk, Suite A
Stockbridge, GA 30281-7340

Fax (770) 474-8078

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5126 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

Other physician assistant providers in Stockbridge

See all in Stockbridge →

About NPI 1417020405

Kizuwanda Blackburne, RPAC's National Provider Identifier is 1417020405, issued on Nov 16, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stockbridge, GA. The record was last updated on Apr 1, 2008.