Individual provider · Type 1 NPI

Terry Dean Blackwell, PA-C

Physician Assistant · Fort Liberty, NC

NPI number 1417054875 Active

Practice location

2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001

Call (910) 907-8922 Map

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417054875

Terry Dean Blackwell, PA-C's National Provider Identifier is 1417054875, issued on Sep 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Liberty, NC. The record was last updated on Apr 20, 2026.