Dr. Samuel Dwight Blackwell, M.D.
Family Medicine in Apex, NC. Individual provider (NPI-1).
NPI number1770677635
StatusActive
Last updated in NPPESFeb 3, 2014
Details
- NPI
- 1770677635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel Dwight Blackwell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Feb 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 32989 | NC | Yes |
Practice location
1011 Pemberton Hill RdSuite 101
Apex, NC 27502-4266
Phone 919-367-9355 · Fax 919-367-9276
Mailing address
1011 Pemberton Hill RdSuite 101
Apex, NC 27502-4266
Phone 919-367-9355 · Fax 919-367-9276
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