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1528353364
ELIZABETH P BLACKWOOD
AUSTELL, GA
NPI
1528353364
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Former Name
ELIZABETH PANGMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN144610)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
-- ELIZABETH P BLACKWOOD NP
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-7000
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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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