Blakeman, Rebecca S
Blakeman, Rebecca S is an sole proprietor health care provider with primary practice located at 5833 Stewart Pkwy Ste 203 , Douglasville GA 30135-6934. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Blakeman, Rebecca S can be contacted via phone (404) 310-1161.Contact Information
Primary practice address
5833 Stewart Pkwy Ste 203
Douglasville GA 30135-6934
Phone: (404) 310-1161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 002757 | Georgia |
Profile Details
| NPI number | 1679729412 |
|---|---|
| LBN Legal business name | Blakeman, Rebecca S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Jul 2nd, 2021 - about 3 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.
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