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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAYLOCK MEDICAL CLINIC PA

Active Organization

BLAYLOCK MEDICAL CLINIC PA is a Primary Care Clinic organization located in GREENVILLE, Mississippi. NPI 1326353798 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · GREENVILLE, MS

Registration Details

NPI Number
1326353798
Provider Type
Organization
NPI Issued
Aug 10, 2010 (16.020166542179 yrs)
Last Updated
Aug 31, 2010
License
04644 (MS)

Practice Information

Address
130 E WALKER ST
GREENVILLE, MS, 387014766
Browse MS providers · Browse ZIP 38701
Phone
6623327211
Fax
6623320442
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.