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Search › Georgia › 163WP0808X

Leasa Blackmon, RN

NPI 1689420424 · on the registry since 2024

Practice

Address
240 Mitchell Bridge Rd
Athens, GA 30606
Phone
(770) 910-9196
Fax
(678) 682-8747
Organisation at this address
Village Drug Shop At Advantage Llc
Village Drug Shop At Advantage Llc
Advantage Behavioral Health Systems
Advantage Behavioral Health Systems
Advantage Behavioral Health Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-24

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