Terry Dean Blackwell, PA-C | |
Bldg 5-4257, Bastogne Street Extension, Ft Bragg, NC 28310 | |
(910) 907-9723 | |
(910) 907-8011 |
Full Name | Terry Dean Blackwell |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | Bldg 5-4257, Ft Bragg, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417054875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Terry Dean Blackwell, PA-C 905 Wattle Bird Drive, Fayetteville, NC 28312 Ph: (910) 644-4283 | Terry Dean Blackwell, PA-C Bldg 5-4257, Bastogne Street Extension, Ft Bragg, NC 28310 Ph: (910) 907-9723 |
Mr. Michael Anthony Dilorenzo, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: M 4861 Logistics Ave, Joel Clinic, Ft Bragg, NC 28310 Phone: 910-907-9195 Fax: 910-907-9828 | |
Mr. Thomas Richard Butler, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Center, Ft Bragg, NC 28307 Phone: 910-907-8962 Fax: 910-907-8087 |