Individual
STEPHEN FEW BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL CENTER DR, SUITE 100, GADSDEN, AL 35903-1157
(256) 492-2663
(256) 492-8620
Mailing address
300 MEDICAL CENTER DR, STE 501, GADSDEN, AL 35903-1158
(256) 492-2663
(256) 492-8620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19922
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051520468
BLUE CROSS/BLUE SHIELD
AL
05
—
051520468
—
AL
Enumeration date
07/07/2006
Last updated
01/30/2016
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