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Individual

DR. ROBERT CHARLES BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 LAKE JAMES DR, SUITE 200, VIRGINIA BEACH, VA 23464-6780
(757) 523-0022
(757) 523-5018
Mailing address
1201 LAKE JAMES DR, SUITE 200, VIRGINIA BEACH, VA 23464-6780
(757) 523-0022
(757) 523-5018

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101051005
VA

Other

Enumeration date
09/12/2005
Last updated
12/09/2019
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