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1265019970
THOMAS ALEXANDER BLACKWELL
CHARLOTTE, NC
NPI
1265019970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 303135)
Enumeration Date
2021-03-27
Last Update Date
2024-06-29
Business Address
THOMAS ALEXANDER BLACKWELL
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-677-1000
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Mailing Address
THOMAS ALEXANDER BLACKWELL
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-667-1000
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