Dr. Wesley Lane Blackwood
Pediatric Cardiologist
1062 Forsyth St Suite 3a
Macon
, Georgia 31201-8637
Dr. Wesley Lane Blackwood
Pediatric Cardiologist
1062 Forsyth St Suite 3a
Macon
, Georgia 31201-8637
(404) 256-2593
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Wesley Lane Blackwood
- 2835 Brandywine Rd #300
- Atlanta, GA
- Zip : 30341-5540
- Phone : (404) 256-2593
Second Address
- Dr. Wesley Lane Blackwood
- 1062 Forsyth St Suite 3a
- Macon, GA
- Zip : 31201-8637
- Phone : (478) 743-4622
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 062657 | GA |
National Provider Identifier
| NPI | 1093930208 |
|---|---|
| Provider Name | Dr. Wesley Lane Blackwood |
| First Address | Atlanta, GA 30341-5540 |
| Second Address | Macon, GA 31201-8637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2007 |
| Last Update Date | 22/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.