Blackman, Wilbur Lew

Blackman, Wilbur Lew is an individual health care provider with primary practice located at 921 Moores Ferry Rd Ste D , Villa Rica GA 30180-9706. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blackman, Wilbur Lew can be contacted via phone (678) 840-8881.

Contact Information

Primary practice address
921 Moores Ferry Rd Ste D Villa Rica GA 30180-9706
Phone: (678) 840-8881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006344 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 416 Georgia

Profile Details

NPI number 1033173000
LBN Legal business name Blackman, Wilbur Lew
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033173000 NPPES
Georgia MEDICAID 000918794A

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