# JOSEPH W BLACKSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194834747
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 11335 | MS | — |
| 207R00000X | Internal Medicine Physician | MD 11335 | MS | Yes |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | MD 11335 | MS | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 09/11/2007