Organization
FCE-PPD CENTER
Active
Organization
FCE-PPD CENTER
Active
Other names
Blankenship FCE-PPD Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA S BLANKENSHIP CWCP (DIRECTOR OF BUSINESS OPS)
(478) 475-9393
Entity
Organization
Contact information
Practice address
3040 RIVERSIDE DR, SUITE C-5, MACON, GA 31210-2521
(478) 475-9393
(478) 475-9353
Mailing address
3040 RIVERSIDE DR, SUITE C-5, MACON, GA 31210-2521
(478) 475-9393
(478) 475-9353
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT001629
GA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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