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1518920305
DONALD WAYNE BLACKLEY
CHARLOTTE, NC
NPI
1518920305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NC 00-38896)
Enumeration Date
2006-04-11
Last Update Date
2008-08-21
Business Address
Dr. DONALD WAYNE BLACKLEY M.D.
2001 VAIL AVE
CHARLOTTE, NC 28207-1219
Phone number: 704-379-5956
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Mailing Address
Dr. DONALD WAYNE BLACKLEY M.D.
PO BOX 36351
CHARLOTTE, NC 28236-6351
Phone number: 704-377-5772
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