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1093930208
WESLEY LANE BLACKWOOD
MACON, GA
NPI
1093930208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0202X Pediatrics, Pediatric Cardiology
(Licence: GA 062657)
Enumeration Date
2007-04-13
Last Update Date
2021-01-22
Business Address
Dr. WESLEY LANE BLACKWOOD M.D.
1062 FORSYTH ST SUITE 3A
MACON, GA 31201-8637
Phone number: 478-743-4622
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Mailing Address
Dr. WESLEY LANE BLACKWOOD M.D.
2835 BRANDYWINE RD #300
ATLANTA, GA 30341-5540
Phone number: 404-256-2593
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