J WAID BLACKSTONE, M.D., LLC

SYLACAUGA, AL
NPI1285843888
Entity TypeOrganization
Authorized ContactJAMES WAID BLACKSTONE
Owner
256-245-5203
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: AL  24790)
Enumeration Date2007-05-21
Last Update Date2020-08-22
Business Address
J WAID BLACKSTONE, M.D., LLC
210 W SPRING ST
SYLACAUGA, AL 35150-2924
Phone number: 256-245-5203
Mailing Address
J WAID BLACKSTONE, M.D., LLC
210 W SPRING ST
SYLACAUGA, AL 35150-2924
Phone number: 256-245-5203
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