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Individual

JESSE AYCOCK BLACKMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5413 US HIGHWAY 117 N, PIKEVILLE, NC 27863-9445
(919) 242-5271
(919) 242-5096
Mailing address
5413 US HIGHWAY 117 N, PIKEVILLE, NC 27863-9445
(919) 242-5271
(919) 242-5096

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18609
NC

Other

Enumeration date
06/05/2006
Last updated
07/08/2007
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