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J Waid Blackstone, M.d., Llc
Clinic/Center in Sylacauga, Alabama
NPI 1285843888

J Waid Blackstone, M.d., Llc is a Clinic/Center based in Sylacauga, AL. J Waid Blackstone, M.d., Llc practices in Sylacauga, AL. The NPI Number for J Waid Blackstone, M.d., Llc is 1285843888 and holds a License No. 24790 (Alabama).

The current practice location address for J Waid Blackstone, M.d., Llc is 210 W Spring St, Sylacauga, AL and can be reached out via phone at 256-245-5203 and via fax at 256-245-5981.

Location: 210 W Spring St, Sylacauga, AL, 35150-2924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285843888
Provider Name
J Waid Blackstone, M.d., Llc
Credential
Provider Entity Type
Organization
Address
210 W Spring St, Sylacauga, AL, 35150-2924
Phone Number
256-245-5203
Fax Number
256-245-5981
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7514689 01 AL AETNA
institution
Provider Business Practice Location Address Details
Address
210 W Spring St
City
Sylacauga
State
Alabama
Zip
35150-2924
Phone Number
256-245-5203
Fax Number
256-245-5981
person
Provider Business Mailing Address Details
Address
210 W Spring St
City
Sylacauga
State
Alabama
Zip
35150-2924
Phone Number
256-245-5203
Fax Number
256-245-5981
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
24790 (Alabama)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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