Individual
MR. ROBERT BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 WINTER STREET, BUILDING C, AUGUSTA, GA 30904
(706) 855-8866
Mailing address
1505 WINTER STREET, BUILDING C, AUGUSTA, GA 30904
(706) 855-8866
(706) 860-6358
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
025106
GA
2084P0804X
Child & Adolescent Psychiatry Physician
14708
SC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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