Individual
KIZUWANDA BLACKBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
145 EAGLES WALK, SUITE A, STOCKBRIDGE, GA 30281-7340
(770) 389-3855
(770) 474-8078
Mailing address
145 EAGLES WALK, SUITE A, STOCKBRIDGE, GA 30281-7340
(770) 389-3855
(770) 474-8078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5126
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061407
BCBS OF GA GROUP #
GA
Enumeration date
11/16/2006
Last updated
04/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us