Individual
DR. NICOLE MARIE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5780 PEACHTREE DUNWOODY RD STE 320, ATLANTA, GA 30342-1575
(404) 256-2943
(404) 256-6073
Mailing address
5780 PEACHTREE DUNWOODY RD, SUITE 320, ATLANTA, GA 30342-1554
(404) 256-2943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
73617
GA
Other
Enumeration date
04/07/2011
Last updated
09/29/2020
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