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1689600587
GERALD G BLACKWELL
KINGSPORT, TN
NPI
1689600587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: TN 27170)
Enumeration Date
2006-06-23
Last Update Date
2014-12-03
Business Address
-- GERALD G BLACKWELL MD
2050 MEADOWVIEW PARKWAY
KINGSPORT, TN 37660-7332
Phone number: 423-230-5000
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Mailing Address
-- GERALD G BLACKWELL MD
105 W STONE DR SUITE 6A
KINGSPORT, TN 37660-3365
Phone number: 423-408-7220
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