Individual
DR. MAGGIE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAGGIE BLACKBURN MD
Contact information
Practice address
3410 REMINGTON RUN, TALLAHASSEE, FL 32312-1473
(850) 644-2373
Mailing address
3410 REMINGTON RUN, TALLAHASSEE, FL 32312-1473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
190386
NY
208D00000X
General Practice Physician
Primary
ME99422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01498484
—
NY
Enumeration date
12/18/2006
Last updated
02/04/2016
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