Individual
ROBERT STEVEN BLACKWELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3623 J DEWEY GRAY CIR STE 202, AUGUSTA, GA 30909-6554
(706) 863-8181
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4951
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN249545
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2020
Last updated
10/23/2025
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