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Bonnie Blackburn, PA
NPI 1386270908 · on the registry since 2020
Practice
- Address
- 10 Amalia Dr Ste C5
Buckhannon, WV 26201 - Phone
- (304) 460-7948
- Fax
- (304) 460-7908
- Organisation at this address
- Larry E. Williams, Od
American Eye Center Inc
Jerry N Black Surgical Suite
Upshur Medical Management ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1200 Greenway Rd, Suffolk, VA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-15
- Status
- Not present in the most recent federal file
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 West Virginia