Blackburn, Charlotte H

Blackburn, Charlotte H is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Blackburn, Charlotte H can be contacted via phone (678) 514-1991.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-0000
Phone: (678) 514-1991
Fax: (678) 514-1992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN106535 Georgia

Profile Details

NPI number 1700827847
LBN Legal business name Blackburn, Charlotte H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 16th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700827847 NPPES
Georgia MEDICAID 00720354A
Georgia MEDICAID 000720354E

Popular Providers