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Dr. Derrick Lewis Blackwell, DO
Family Medicine Physician in Charlotte, North Carolina
NPI 1134348485

Derrick Lewis Blackwell is a Family Medicine Physician based in Charlotte, NC. Derrick Lewis Blackwell practices in Charlotte, NC and has the professional credentials of DO. The NPI Number for Derrick Lewis Blackwell is 1134348485 and holds a License No. 5101016178 (North Carolina).

The current practice location address for Derrick Lewis Blackwell is 4500 Cameron Valley Pkwy Ste 100, Charlotte, NC and can be reached out via phone at 704-384-7910 and via fax at 704-384-7914.

Location: 4500 Cameron Valley Pkwy Ste 100, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134348485
Provider Name
Derrick Lewis Blackwell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4500 Cameron Valley Pkwy Ste 100, Charlotte, NC, 28260-0447
Phone Number
704-384-7910
Fax Number
704-384-7914
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011221 05 SC
institution
Provider Business Practice Location Address Details
Address
4500 Cameron Valley Pkwy Ste 100
City
Charlotte
State
North Carolina
Zip
28211-3542
Phone Number
704-384-7910
Fax Number
704-384-7914
person
Provider Business Mailing Address Details
Address
4500 Cameron Valley Pkwy Ste 100
City
Charlotte
State
North Carolina
Zip
28211-3542
Phone Number
704-384-7910
Fax Number
704-384-7914
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101016178 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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