GEORGIA BLACKWOOD KUBIC

SALT LAKE CITY, UT
NPI1235429655
Former NameGEORGIA LEEANN BLACKWOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  8406695-1205)
Enumeration Date2011-04-19
Last Update Date2014-08-20
Business Address
-- GEORGIA BLACKWOOD KUBIC M.D.
375 CHIPETA WAY UNIVERSITY OF UTAH FAMILY MEDICINE RESIDENCY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-587-3411
Mailing Address
-- GEORGIA BLACKWOOD KUBIC M.D.
2232 HAVERSHAM CLOSE
VIRGINIA BEACH, VA 23454-1151
Phone number: 757-630-4046
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