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Blaylock Medical Clinic Pa
Primary Care Clinic/Center in Greenville, Mississippi
NPI 1326353798

Blaylock Medical Clinic Pa is a Primary Care Clinic/Center based in Greenville, MS and is specialized in Primary Care. Blaylock Medical Clinic Pa practices in Greenville, MS. The NPI Number for Blaylock Medical Clinic Pa is 1326353798 and holds a License No. 04644 (Mississippi).

The current practice location address for Blaylock Medical Clinic Pa is 130 E Walker St, Greenville, MS and can be reached out via phone at 662-332-7211 and via fax at 662-332-0442.

Location: 130 E Walker St, Greenville, MS, 38701-4766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326353798
Provider Name
Blaylock Medical Clinic Pa
Credential
Provider Entity Type
Organization
Address
130 E Walker St, Greenville, MS, 38701-4766
Phone Number
662-332-7211
Fax Number
662-332-0442
Provider Enumeration Date
08/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 E Walker St
City
Greenville
State
Mississippi
Zip
38701-4766
Phone Number
662-332-7211
Fax Number
662-332-0442
person
Provider Business Mailing Address Details
Address
130 E Walker St
City
Greenville
State
Mississippi
Zip
38701-4766
Phone Number
662-332-7211
Fax Number
662-332-0442
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
04644 (Mississippi)
Definition
Definition to come...
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