Individual
DR. PATRICIA ANN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1905 BEAVER RUIN RD, NORCROSS, GA 30071-3837
(770) 441-0444
Mailing address
1905 BEAVER RUIN RD, NORCROSS, GA 30071-3837
(770) 441-0444
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
030271
GA
Other
Enumeration date
08/17/2007
Last updated
12/01/2010
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