Individual
DR. DAPHNE LORRAINE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
485 HUNTINGTON RD, SUITE 195, ATHENS, GA 30606-1861
(706) 552-5470
(706) 552-5471
Mailing address
675 COLLEGE AVE, ATHENS, GA 30601-2635
(762) 499-6960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034780
GA
Other
Enumeration date
03/20/2007
Last updated
08/16/2017
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