Individual
DR. JAMES WAID BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24790
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932211
—
AL
01
—
051001264
BLUE CROSS BLUE SHIELD AL
AL
01
—
202682193
TRICARE
AL
01
—
7541689
AETNA
AL
Enumeration date
01/25/2006
Last updated
11/13/2024
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