ELIZABETH P BLACKWOOD

AUSTELL, GA
NPI1528353364
Former NameELIZABETH PANGMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN144610)
Enumeration Date2011-06-09
Last Update Date2011-06-09
Business Address
ELIZABETH P BLACKWOOD NP
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-7000
Mailing Address
ELIZABETH P BLACKWOOD NP
5665 NEW NORTHSIDE DR NW SUITE 320
ATLANTA, GA 30328-5831
Phone number: 770-874-5468
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