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Gerald G Blackwell, MD

Internal Medicine, Cardiovascular Disease in Kingsport, TN. Individual provider (NPI-1).

NPI number1689600587
StatusActive
Last updated in NPPESDec 3, 2014

Details

NPI
1689600587
Entity type
Individual (NPI-1)
Name
Gerald G Blackwell
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2006
Last updated
Dec 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease27170TNYes

Practice location

2050 Meadowview Parkway
Kingsport, TN 37660-7332

Phone 423-230-5000 · Fax 423-230-5097

Mailing address

105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365

Phone 423-408-7220 · Fax 423-408-7405

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