Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William J Blackley, MD

Individual provider Family Medicine Physician · NPI 1649262312

William J Blackley, MD is a Family Medicine Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 Sullivan Rd
Statesville, NC 28677-3437
Phone: (704) 924-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20527 (NC)

Record details

NPI number1649262312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJanuary 24, 2008
Mailing address650 Signal Hill Drive Ext, Po Box 1845, Statesville, NC 28625-4353

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