Individual
DR. COLLIN WILLIAM BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, STE 200A, CHARLOTTE, NC 28207
(704) 323-2564
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2025-00850
NC
Other
Enumeration date
03/23/2020
Last updated
07/31/2025
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