Blackwell, Jack Thomas

Blackwell, Jack Thomas is an individual health care provider with primary practice located at 415 Eisenhower Dr Ste 6, Savannah GA 31406-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Blackwell, Jack Thomas can be contacted via phone (912) 354-3510.

Contact Information

Primary practice address
415 Eisenhower Dr Ste 6 Savannah GA 31406-2600
Phone: (912) 354-3510
Fax: (912) 356-3391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 023908 Georgia

Profile Details

NPI number 1356332100
LBN Legal business name Blackwell, Jack Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Jun 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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