Individual
LEEANNA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 EXECUTIVE PARK S, ATLANTA, GA 30329-2288
(423) 754-7586
Mailing address
7 EXECUTIVE PARK DR NE APT 1301, ATLANTA, GA 30329-2263
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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