Individual
JAMES MADISON BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3480 KEITH BRIDGE RD, STE C2, CUMMING, GA 30041-5568
(678) 455-8773
(678) 455-8775
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
GA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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