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MR. MICHAEL ALDRED BLACKWELL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
408 8TH ST, SUITE 4, N WILKESBORO, NC 28659-4167
(336) 667-7171
(336) 667-1095
Mailing address
408 8TH ST, SUITE 4, N WILKESBORO, NC 28659-4167
(336) 667-7171
(336) 667-1095

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9500290
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0297M
BCBS
NC
01
07-07548
UNITED HEALTHCARE
NC
05
89-0297M
NC
Enumeration date
01/26/2006
Last updated
05/20/2015
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