BLEN BLACKWELL, PA-C
Physician Assistant
Active
Individual
NPI: 1811217409
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA00132 (MS) |
Frequently Asked Questions
NPI 1811217409 is the National Provider Identifier for BLEN BLACKWELL, PA-C, a Physician Assistant provider located in Hattiesburg, MS. This NPI was enumerated on June 4, 2010.
BLEN BLACKWELL, PA-C practices at 3688 VETERANS MEMORIAL DR., SUITE 200, Hattiesburg, MS 39401.
Quick Facts
- NPI
- 1811217409
- Type
- Individual
- Enumerated
- Jun 4, 2010
- Last Updated
- Aug 20, 2013
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