Thomas L Blackstone MD

NPI 1912094301 - Pediatrics - 208000000X

NPI Details
NPI 1912094301
Gender Male
Enumeration Date 10/06/2006
Last Updated 06/02/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3505 CONVERSE DR
STE 200
WILMINGTON NC, 28403-6132, US
Phone (910) 392-5634
Fax (910) 392-5654
Business Location
PO BOX 647
HOPE MILLS NC, 28348-0647, US
Phone (910) 483-7337
Fax (910) 202-0337
Toxanomy
Taxonomy Code 208000000X
License State North Carolina
License Number 17469
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According to our database, Thomas L Blackstone MD NPI is 1912094301, taxonomy code is 208000000X and license number is 17469, license state is located at North Carolina. Thomas L Blackstone MD physically located at 3505 Converse Dr, Wilmington NC, 28403-6132. NPI Number Thomas L Blackstone MD has the Individual type.

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1912094301 NPI number is provided on an as is basis without warranty of any kind. 1912094301 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas L Blackstone MD are for informational purposes only.