J Waid Blackstone, M.d., LLC

NPI #1285843888 in Sylacauga, Alabama

Provider Information

NPI Number
1285843888
Entity Type
Organization
Organization Name
J Waid Blackstone, M.d., LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
210 W SPRING ST
State
Alabama
ZIP Code
35150-2924
Phone
(256) 245-5203

Authorized Official

Name
DR. JAMES WAID BLACKSTONE, M.D.
Title
OWNER
Phone
(256) 245-5203

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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