Individual
MR. AARON T BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
10502 PARK RD, SUITE 100, CHARLOTTE, NC 28210-8479
(704) 542-1366
(704) 542-1036
Mailing address
10502 PARK RD, SUITE 100, CHARLOTTE, NC 28210-8479
(704) 542-1366
(704) 542-1036
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9102207
FL
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08153
BC/BS OF FLORIDA
FL
Enumeration date
10/25/2005
Last updated
07/08/2007
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