| Kizuwanda Blackburne, RPAC | |
|
145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | |
| (770) 389-3855 | |
| (770) 474-8078 |
| Full Name | Kizuwanda Blackburne |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 145 Eagles Walk, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417020405 | NPI | - | NPPES |
| 061407 | Other | GA | BCBS OF GA GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5126 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kizuwanda Blackburne, RPAC 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 Ph: (770) 389-3855 | Kizuwanda Blackburne, RPAC 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 Ph: (770) 389-3855 |
Charles Everett Coppinger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1492 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 404-255-1933 Fax: 404-553-9830 | |
James Vincent Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281 Phone: 770-506-4350 Fax: 770-506-9860 | |
Janet Holland, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 Country Club Dr, Bldg. 100 Suite C, Stockbridge, GA 30281 Phone: 770-507-1414 Fax: 770-507-5150 | |
Michael C. Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Eagles Walk, Suite A, Stockbridge, GA 30281 Phone: 770-914-0116 Fax: 770-914-7703 | |
Charla V Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281 Phone: 404-307-3062 | |
Elizabeth Matheny Wolfe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014 | |
Jerrica Miles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281 Phone: 770-506-4350 |