Individual
JAMES BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1000 BLYTHE BLVD, CMC ANNEX 1ST FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-0720
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201660
NC
Other
Enumeration date
01/06/2006
Last updated
04/20/2020
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