Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED BLACKLEDGE, M.D.
ActiveDR. FRED BLACKLEDGE, M.D. is a Plastic Surgery healthcare provider located in JACKSON, Mississippi. NPI 1003890179 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · JACKSON, MS
Registration Details
- NPI Number
- 1003890179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.663053161377 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16006 (MS)
Practice Information
- Address
-
764 LAKELAND DRJACKSON, MS, 392164617Browse MS providers · Browse ZIP 39216
- Phone
- 6019813033
- Fax
- 6019828132
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| PHILLIP BLEVINS | M.D. | 1619907045 |
| MARCUS D WALKINSHAW | MD | 1417038290 |
| DEREK CULNAN | MD | 1396951620 |
| DR. IAN CRAIG HOPPE | M.D. | 1770873978 |
| DR. MARC EDWARD WALKER | M.D., M.B.A. | 1245598325 |
| LAURA SESTOKAS HUMPHRIES | M.D. | 1811335771 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.