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Individual

MRS. KAREN H BLACKWELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9201 UNIVERSITY CITY BLVD, UNC CHARLOTTE STUDENT HEALTH CENTER, CHARLOTTE, NC 28223-0001
(704) 687-4793
(704) 687-3221
Mailing address
3475 LAKELAND RD, CONCORD, NC 28027-8720
(704) 786-9450
(704) 687-3221

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102704
NC

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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