NPI 1053939736

Ronald L Blackwell

Practitioner Driver Raleigh, NC

Practice location

Address: 8601 Six Forks Rd STE 400, Raleigh, NC 27615-2965
Phone: (919) 280-4822
Mailing address: 600 Copper Beech Ln, Wake Forest, NC 27587-1840

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1053939736
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2020
Record last updated: 9 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.