Individual
MRS. CHRISTY P BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4704 GREBE CT, AUGUSTA, GA 30906-8516
(706) 294-6135
Mailing address
4704 GREBE CT, AUGUSTA, GA 30906-8516
(706) 294-6135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN170034
GA
163WH0200X
Home Health Registered Nurse
RN170034
GA
Other
Enumeration date
03/21/2018
Last updated
06/11/2019
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