J Waid Blackstone, M.D., Llc in Sylacauga - Clinic/center
J Waid Blackstone, M.D., Llc - NPI 1285843888
J Waid Blackstone, M.D., Llc is a Clinic/center in Sylacauga, Alabama. J Waid Blackstone, M.D., Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for J Waid Blackstone, M.D., Llc is 1285843888. The last update date is 2020-08-22.
J Waid Blackstone, M.D., Llc's current location address is 210 W Spring St, Sylacauga, Alabama. You can contact this provider via phone number 2562455203 and fax number 2562455981. The mailing address for J Waid Blackstone, M.D., Llc is 210 W Spring St, Sylacauga, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | J Waid Blackstone, M.D., Llc |
|---|---|
| Address | 210 W Spring St, Sylacauga, Alabama |
| Phone Number | 2562455203 |
| Fax Number | 2562455981 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blackstone Waid James |
| Credentials | M.D. |
| Telephone Number | 2562455203 |
NPI Number Detail
| NPI Number | 1285843888 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 210 W Spring St |
|---|---|
| City | Sylacauga |
| State | Alabama (AL) |
| Post Code | 351502924 |
| Phone Number | 2562455203 |
| Fax Number | 2562455981 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 24790 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7514689 | AL | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to J Waid Blackstone, M.D., Llc by the Centers for Medicare & Medicaid Services?
The J Waid Blackstone, M.D., Llc has been issued the NPI (National Provider Identifier) 1285843888 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where J Waid Blackstone, M.D., Llc is physically located?
The J Waid Blackstone, M.D., Llc is physically situated at the following address: 210 W Spring St, Sylacauga, AL, 351502924.
What is the area of specialization for J Waid Blackstone, M.D., Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for J Waid Blackstone, M.D., Llc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did J Waid Blackstone, M.D., Llc receive its 1285843888 assignment from the Centers for Medicare & Medicaid Services?
The J Waid Blackstone, M.D., Llc was assigned its 1285843888 on 2007-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to J Waid Blackstone, M.D., Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to J Waid Blackstone, M.D., Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.