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Dr. Benjamin David Blossom, MD
Cardiovascular Disease Physician in Tupelo, Mississippi
NPI 1477648087

Benjamin David Blossom is a Cardiovascular Disease Physician based in Tupelo, MS and is specialized in Cardiovascular Disease. Benjamin David Blossom practices in Tupelo, MS and has the professional credentials of MD. The NPI Number for Benjamin David Blossom is 1477648087 and holds a License No. 19111 (Mississippi).

The current practice location address for Benjamin David Blossom is 499 Gloster Creek Vlg, Tupelo, MS and can be reached out via phone at 662-620-6992.

Location: 499 Gloster Creek Vlg, Tupelo, MS, 38801-4749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477648087
Provider Name
Benjamin David Blossom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
499 Gloster Creek Vlg, Tupelo, MS, 38801-4749
Phone Number
662-620-6992
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03670007 05 MS
institution
Provider Business Practice Location Address Details
Address
499 Gloster Creek Vlg
City
Tupelo
State
Mississippi
Zip
38801-4600
Phone Number
662-620-6992
Fax Number
person
Provider Business Mailing Address Details
Address
499 Gloster Creek Vlg
City
Tupelo
State
Mississippi
Zip
38801-4600
Phone Number
662-620-6992
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
19111 (Mississippi)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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