Organization
THOMAS R. BLACKBURN, MD, PA
Active
Other names
BLUE RIDGE RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS REID BLACKBURN MD (RADIOLOGIST)
(704) 482-0386
Entity
Organization
Contact information
Practice address
201 E PARKER RD, MORGANTON, NC 28655-5107
(828) 433-1206
(828) 433-0667
Mailing address
1327 KINGS CIR, SHELBY, NC 28150-6030
(704) 482-0386
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
14614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14614
NC LICENSE NO.
NC
Enumeration date
02/21/2007
Last updated
05/12/2008
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