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1831170208
JOHN R BLACKWELL
MERIDIAN, MS
NPI
1831170208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MS 18848)
Enumeration Date
2005-11-10
Last Update Date
2007-07-08
Business Address
Dr. JOHN R BLACKWELL M.D.
1203 24TH AVE
MERIDIAN, MS 39301-3926
Phone number: 601-693-5862
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Mailing Address
Dr. JOHN R BLACKWELL M.D.
PO BOX 5653
MERIDIAN, MS 39302-5653
Phone number: 601-693-5862
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