Individual
DR. DONALD WAYNE BLACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 379-5956
(704) 379-6218
Mailing address
PO BOX 36351, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00-38896
NC
Other
Enumeration date
04/11/2006
Last updated
08/21/2008
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