PENNY BLOUNT PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1841376530- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 290 COUNTRY CLUB DR STE 100, STOCKBRIDGE, GA, 302819069
- Phone
- (678) 854-9500
- Fax
- (678) 854-9502
Specialties & Taxonomies
Physician Assistant, Medical
License: NY #009035
Physician Assistant
Primary License: GA #8963
All Addresses
MAILING
1800 HOWELL MILL RD NW STE 800 ATTN CHIEF COMPLIANCE OFFICER
ATLANTA, GA, 303180922