Individual
RASHAWN M BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3634 J DEWEY GRAY CIR, SUITE 308, AUGUSTA, GA 30909-6580
(706) 855-5650
(706) 863-0821
Mailing address
3624 J DEWEY GRAY CIR, SUITE 308, AUGUSTA, GA 30909-6584
(706) 855-5650
(706) 863-0821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053100
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704247972C
—
GA
Enumeration date
09/16/2006
Last updated
09/05/2013
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