Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER S. BLACKLEDGE, MD
ActiveTUCKER S. BLACKLEDGE, MD is a Pediatrics healthcare provider located in SHREVEPORT, Louisiana. NPI 1134651284 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SHREVEPORT, LA
Registration Details
- NPI Number
- 1134651284
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2017 (9.3875907263713 yrs)
- Last Updated
- Aug 14, 2023
- Licenses
-
E-13312 (AR)E-13312 (AR)
Practice Information
- Address
-
1501 KINGS HWYPEDIATRICSSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186262274
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatric Hematology-Oncology
Other Pediatrics Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT E RITCH | MD | 1770588576 |
| DR. ROBERT DAVIS HAYNIE | MD | 1174529630 |
| MRS. SHARYE V ATCHISON | MD | 1700883915 |
| DR. CLIFTON M VAUGHAN | M.D. | 1861499600 |
| DR. MONICA L HAYNES | M.D. | 1750388492 |
| DR. WILLIAM D PARKER | M.D. | 1174521785 |
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.