Individual
DR. WESLEY LANE BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1062 FORSYTH ST, SUITE 3A, MACON, GA 31201-8637
(478) 743-4622
Mailing address
2970 BRANDYWINE RD STE 125, ATLANTA, GA 30341-5521
(404) 256-2593
(770) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
062657
GA
Other
Enumeration date
04/13/2007
Last updated
04/23/2026
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