Individual
DR. THOMAS GIBSON BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
208 N SPENCE AVE, GOLDSBORO, NC 27534-4318
(919) 778-2015
(919) 778-4808
Mailing address
208 N SPENCE AVE, GOLDSBORO, NC 27534-4318
(919) 778-2015
(919) 778-4808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
561825115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790907A
—
NC
Enumeration date
10/13/2006
Last updated
12/27/2011
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