Individual
DR. JEFFREY ROBERT BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2017-00606
NC
207RC0000X
Cardiovascular Disease Physician
34767
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347672
—
SC
Enumeration date
12/06/2007
Last updated
02/16/2021
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