Individual
THOMAS L BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12337276
MULTIPLAN
NC
01
—
1409483
UNITED HEALTHCARE
NC
01
—
1542826
WELLPATH
NC
01
—
15986
BCBS OF NC
NC
01
—
1791139
CIGNA GREATWEST
NC
01
—
1912094301
DOCTORS DIRECT
NC
05
—
1912094301
—
NC
01
—
296275
MEDCOST
NC
01
—
4359214
AETNA
NC
01
—
4550753
COVENTRY NATIONAL - COVENTRY PPO
NC
05
—
8915986
—
NC
01
—
FH1101875
FIRST CAROLINA CARE
NC
Enumeration date
10/06/2006
Last updated
06/02/2016
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