Individual
DR. GEORGE VADEN BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2232 HAVERSHAM CLOSE, VIRGINIA BEACH, VA 23454-1151
(747) 496-9944
Mailing address
2232 HAVERSHAM CLOSE, VIRGINIA BEACH, VA 23454-1151
(747) 496-9944
(747) 496-9944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201540
VA
207Q00000X
Family Medicine Physician
DO695
TN
Other
Enumeration date
01/27/2006
Last updated
02/05/2020
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