# THOMAS R. BLACKBURN, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLUE RIDGE RADIOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548305097
- **Authorized official:** DR. THOMAS REID BLACKBURN MD (RADIOLOGIST)
- **Authorized official phone:** (704) 482-0386

## Contact information

- **Practice address:** 201 E PARKER RD, MORGANTON, NC 28655-5107
- **Practice address phone:** (828) 433-1206
- **Practice address fax:** (828) 433-0667
- **Mailing address:** 1327 KINGS CIR, SHELBY, NC 28150-6030
- **Mailing address phone:** (704) 482-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 14614 | NC | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 05/12/2008