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1356332100
JACK THOMAS BLACKWELL
SAVANNAH, GA
NPI
1356332100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 023908)
Enumeration Date
2005-11-01
Last Update Date
2016-06-25
Business Address
Dr. JACK THOMAS BLACKWELL MD
415 EISENHOWER DR STE 6
SAVANNAH, GA 31406-2600
Phone number: 912-354-3510
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Mailing Address
Dr. JACK THOMAS BLACKWELL MD
1499 FAIR RD
STATESBORO, GA 30458-1683
Phone number: 912-486-1482
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