person
Thomas L Blackstone, MD
Pediatrics Physician in Wilmington, North Carolina
NPI 1912094301

Thomas L Blackstone is a Pediatrics Physician based in Hope Mills, NC. Thomas L Blackstone practices in Wilmington, NC and has the professional credentials of MD. The NPI Number for Thomas L Blackstone is 1912094301 and holds a License No. 17469 (North Carolina).

The current practice location address for Thomas L Blackstone is 3505 Converse Dr, Wilmington, NC and can be reached out via phone at 910-392-5634 and via fax at 910-392-5654.

Location: 3505 Converse Dr, Wilmington, NC, 28348-0647
person
Provider Profile Details
NPI Number
1912094301
Provider Name
Thomas L Blackstone
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3505 Converse Dr, Wilmington, NC, 28348-0647
Phone Number
910-392-5634
Fax Number
910-392-5654
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4359214 01 NC AETNA
8915986 05 NC
1542826 01 NC WELLPATH
1912094301 01 NC DOCTORS DIRECT
15986 01 NC BCBS OF NC
1912094301 01 NC HEALTHNET FEDERAL SERVICES
1912094301 01 NC HUMANA
296275 01 NC MEDCOST
FH1101875 01 NC FIRST CAROLINA CARE
12337276 01 NC MULTIPLAN
4550753 01 NC COVENTRY NATIONAL - COVENTRY PPO
1409483 01 NC UNITED HEALTHCARE
1542826 01 NC COVENTRY OF THE CAROLINAS
1791139 01 NC CIGNA GREATWEST
1912094301 01 NC HEALTHSMART
1912094301 05 NC
institution
Provider Business Practice Location Address Details
Address
3505 Converse Dr
City
State
Zip
28403-6132
Phone Number
910-392-5634
Fax Number
910-392-5654
person
Provider Business Mailing Address Details
Address
3505 Converse Dr
City
State
Zip
28403-6132
Phone Number
910-392-5634
Fax Number
910-392-5654
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
17469 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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