Individual ProviderDaphne Lorraine BlackburnInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address485 Huntington Rd, Suite 195, Athens, GA 30606-1861(706) 552-5470(762) 499-6960PECOS EnrollmentBased on the most recent information from CMS, provider Daphne Lorraine Blackburn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1871618819Provider TypeIndividualFull NameBlackburn, Daphne LorraineTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date3/20/2007Last Updated8/16/2017Contact InformationPractice LocationPractice Address485 Huntington Rd, Suite 195, Athens, GA 30606-1861Phone(706) 552-5470Fax(706) 552-5471Mailing LocationMailing Address675 College Ave, Athens, GA 30601-2635Phone(762) 499-6960FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense034780Georgia