Individual
WILLIAM GRIFFITH BLACKARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-5971
(336) 243-5976
Mailing address
11 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-5971
(336) 243-5976
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9700475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045N
BCBS OF NC
NC
01
—
19484
PARTNERS MDC
NC
01
—
203477
MEDCOST
NC
01
—
2902723
UNITED HEALTHCARE
—
05
—
89-1045N
—
NC
Enumeration date
08/18/2006
Last updated
04/24/2012
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