MICHAEL BLACKWELL

CHARLOTTE, NC
NPI1396351607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-10614)
Enumeration Date2020-09-22
Last Update Date2021-09-27
Business Address
MICHAEL BLACKWELL PA
501 BILLINGSLEY RD STE B
CHARLOTTE, NC 28211-1009
Phone number: 704-444-2400
Mailing Address
MICHAEL BLACKWELL PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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