ROBERT STEVEN BLACKWELDER

AUGUSTA, GA
NPI1558993576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  RN249545)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-02-07
Last Update Date2020-07-03
Business Address
ROBERT STEVEN BLACKWELDER
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4951
Mailing Address
ROBERT STEVEN BLACKWELDER
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4951