SHEM KEARNEY BLACKLEY III

STONE INSTITUTE OF THE CAROLINAS LLC

Dr SHEM KEARNEY BLACKLEY III is a male medical professional, specializing in Urology. He graduated in 1983 from Bowman Gray School Of Medicine Of Wake Forest University.

Contact

STONE INSTITUTE OF THE CAROLINAS LLC

215 S MAIN ST
SUITE 201
DAVIDSON
NC
280368039

Tel: 7048962120

SHEM KEARNEY BLACKLEY III Information

Npi 1578576674
Pac Id 4688632110
Professional Enrollment Id I20100423000725
Last Name BLACKLEY
First Name SHEM
Middle Name KEARNEY
Suffix III
Gender M
Credential
Medical School Name BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY
Graduation Year 1983
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name STONE INSTITUTE OF THE CAROLINAS LLC
Group Practice Pac Id 3173412533
Number Of Group Practice Members 39
Line 1 Street Address 215 S MAIN ST
Line 2 Street Address SUITE 201
Marker Of Address Line 2 Suppression
City DAVIDSON
State NC
Zip Code 280368039
Phone Number 7048962120
Hospital Affiliation Ccn 1 340021
Hospital Affiliation Lbn 1 CAROLINAS HEALTHCARE SYSTEM CLEVELAND
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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