NPI 1376711945 · live from the CMS NPI Registry
James L Blackwell, DO
Family Medicine in Scott Depot, WV. National Provider Identifier 1376711945, active.
NPI record
| NPI | 1376711945 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3016 Great Teays Blvd, Scott Depot, WV 25560 |
| Practice phone | 304-757-6999 |
| Mailing address | 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560 |
| Enumerated | February 15, 2008 |
| Last updated | September 10, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 1090 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.