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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

KIMATHI S BLACKWOOD, MD
890 SECOND STREET
SUITE 201
MACON, GA31201-6863
 Phone: 478-745-4322
 Fax: 478-750-8789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 39 Physician/Nephrology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KIMATHI S BLACKWOOD · (Male)

NPI Number 1609071448
Credentials MD
Entity Individual
Enumeration date 06/20/2007
Last updated 05/12/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
GA License # 063834
GA Medicaid 546478200C
Hospital affiliation(s)
  • COLISEUM MEDICAL CENTER - (Acute Care)
    350 HOSPITAL DRIVE
    MACON, GA 31217
  • COLISEUM NORTHSIDE HOSPITAL - (Acute Care)
    400 CHARTER BOULEVARD
    MACON, GA 31210
  • JASPER MEMORIAL HOSPITAL - (Critical Access)
    898 COLLEGE STREET
    MONTICELLO, GA 31064
  • MEDICAL CENTER OF CENTRAL GEORGIA - (Acute Care)
    777 HEMLOCK STREET
    MACON, GA 31201
  • OCONEE REGIONAL MEDICAL CENTER - (Acute Care)
    821 N COBB STREET POST OFFICE BOX 690
    MILLEDGEVILLE, GA 31061
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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