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Eric Blackwell

Driver in South Hill, VA. Individual provider (NPI-1).

NPI number1316477136
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1316477136
Entity type
Individual (NPI-1)
Name
Eric Blackwell
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X DriverT69517889VAYes

Practice location

248 Circle Dr
South Hill, VA 23970

Phone 434-247-1047

Mailing address

248 Circle Dr
South Hill, VA 23970-3305

Phone 434-247-1047

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All 7 Driver providers in South Hill · All 346 providers in South Hill

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