ANDREW DEATON BLODGETT

CORNELIUS, NC
NPI1396887485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2006-00275)
Enumeration Date2007-02-13
Last Update Date2021-06-11
Business Address
ANDREW DEATON BLODGETT DO
19830 ZION AVE
CORNELIUS, NC 28031-8495
Phone number: 704-384-1782
Mailing Address
ANDREW DEATON BLODGETT DO
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-316-1750