Individual provider · Type 1 NPI

Henry Douglas Blackaby, DO

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1043013337 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

109 Germantown Cir
Hallsville, TX 75650-9503

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043013337

Henry Douglas Blackaby, DO's National Provider Identifier is 1043013337, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 3, 2025.