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Contact Information

WESLEY L BLACKWOOD, M.D.
1062 FORSYTH ST
SUITE 3A
MACON, GA31201-8637
 Phone: 478-743-4622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WESLEY L BLACKWOOD · (Male)

NPI Number 1093930208
Status Active
Credentials M.D.
Entity Individual
Enumeration date 04/13/2007
Last updated 04/23/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 062657
Hospital affiliation(s) Not Available
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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