Search › North Carolina › 207Q00000X
Derrick Blackwell, DO
NPI 1134348485 · on the registry since 2007
Practice
- Address
- 4500 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211 - Phone
- (704) 384-7910
- Fax
- (704) 384-7914
- Organisation at this address
- Novant Health Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 3614 Providence Rd S, Waxhaw, NC
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina