Individual
BILLIE CAROL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1108 BLACKBURN LN, LINCOLNTON, GA 30817-5708
(864) 993-8490
Mailing address
1108 BLACKBURN LN, LINCOLNTON, GA 30817-5708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
173529
GA
363LF0000X
Family Nurse Practitioner
18651
SC
363LF0000X
Family Nurse Practitioner
RN 173529
GA
Other
Enumeration date
07/24/2012
Last updated
05/13/2024
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