Individual
M LEE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-8752
Mailing address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101043803
VA
Other
Enumeration date
08/15/2006
Last updated
10/18/2007
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