James C Blackwell M.D.

NPI 1063410694 - Internal Medicine - 207R00000X

NPI Details
NPI 1063410694
Gender Male
Enumeration Date 07/08/2005
Last Updated 12/17/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1107 MEMORIAL DR
SUITE 300
DALTON GA, 30720-8662, US
Phone (706) 226-3139
Fax (706) 278-6606
Business Location
1107 MEMORIAL DR
SUITE 300
DALTON GA, 30720-8662, US
Phone (706) 226-3139
Fax (706) 278-6606
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 17132
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According to our database, Dr. James C Blackwell M.D. NPI is 1063410694, taxonomy code is 207R00000X and license number is 17132, license state is located at Georgia. James C Blackwell M.D. physically located at 1107 Memorial Dr, Dalton GA, 30720-8662. NPI Number James C Blackwell M.D. has the Individual type.

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1063410694 NPI number is provided on an as is basis without warranty of any kind. 1063410694 is maintained by the National Plan & Provider Enumeration System. The contents of James C Blackwell M.D. are for informational purposes only.