Individual
JULIANNE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(470) 732-4000
Mailing address
3180 LOUDEN DR NE, ATLANTA, GA 30345-3723
(336) 260-8242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13243
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2025
Last updated
07/25/2025
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