SearchGeorgia363LW0102X

Brittaney Blackburn

NPI 1255036182 · on the registry since 2023 · sole proprietor

Practice

Address
1088 Bermuda Run Ste A
Statesboro, GA 30458
Phone
(912) 710-0274

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia