Blackwood, Steven Eric
Blackwood, Steven Eric is an individual health care provider with primary practice located at 620 Cherokee St Ne Ste 300 , Marietta GA 30060-7233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blackwood, Steven Eric can be contacted via phone (770) 635-1812.Contact Information
Primary practice address
620 Cherokee St Ne Ste 300
Marietta GA 30060-7233
Phone: (770) 635-1812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301111523 | Michigan |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25843 | Mississippi |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 89173 | Georgia |
Profile Details
| NPI number | 1598031437 |
|---|---|
| LBN Legal business name | Blackwood, Steven Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2012 |
| Last updated | Jul 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598031437 | NPPES |
| Mississippi | Other | 687245 | MEDICARE |
| Mississippi | MEDICAID | 02887511 | MEDICARE |
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