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Starling Blackburn

NPI 1366894909 · on the registry since 2016 · sole proprietor

Practice

Address
1103 W Screven Street
Rite Aid Pharmacy
Quitman, GA 31643
Phone
(229) 263-4455
Fax
(229) 263-6483
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-07

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