-- BLEN D BLACKWELL -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1811217409- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 3688 VETERANS MEMORIAL DR. SUITE 200, HATTIESBURG, MS, 39401
- Phone
- (601) 554-7400
- Fax
- (601) 554-7499
Specialties & Taxonomies
Physician Assistant
Primary License: MS #PA00132