| NPI | 1447699285 |
|---|---|
| Doing Business As | BLACKVILLE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILIP H EASTMAN President 770-904-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC HTL0485) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |