Terry Dean Blackwell, PA-C Valid NPI

Individual provider · Physician Assistant · Fort Liberty, NC

NPI

1417054875

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Male

Sole proprietor

No

Enumerated

2006-09-20

Last updated

2026-04-20