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

BLEN D BLACKWELL, PA-C

Active

BLEN D BLACKWELL, PA-C is a Physician Assistant healthcare provider located in HATTIESBURG, Mississippi. NPI 1811217409 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HATTIESBURG, MS

Registration Details

NPI Number
1811217409
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2010 (16.049173979478 yrs)
Last Updated
Aug 20, 2013
License
PA00132 (MS)

Practice Information

Address
3688 VETERANS MEMORIAL DR.
SUITE 200
HATTIESBURG, MS, 39401
Browse MS providers · Browse ZIP 39401
Phone
6015547400
Fax
6015547499
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in HATTIESBURG, MS

Name Credential NPI
MARY L FEAGANS PA 1871572578
JERRY LEE STORK P.A. 1467479550
KATHERINE ANDERSON MEYERS PA 1750464343
SHEENA THOMAS MCELHANEY PA 1538242144
NICHOLE C HORN PA 1467682385
MRS. LEAH MARIA WILLS PA-C 1639405749
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.