Individual
PENNY BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
290 COUNTRY CLUB DR STE 100, STOCKBRIDGE, GA 30281-9069
(678) 854-9500
(678) 854-9502
Mailing address
1800 HOWELL MILL RD NW STE 800, ATTN CHIEF COMPLIANCE OFFICER, ATLANTA, GA 30318-0922
(404) 350-9853
(404) 350-8407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8963
GA
363AM0700X
Medical Physician Assistant
009035
NY
Other
Enumeration date
10/27/2006
Last updated
03/12/2026
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