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Christopher Shane Blomberg, MD,MS
Family Medicine Physician in Lucedale, Mississippi
NPI 1982023149

Christopher Shane Blomberg is a Family Medicine Physician based in Monroe, MS. Christopher Shane Blomberg practices in Lucedale, MS and has the professional credentials of MD,MS. The NPI Number for Christopher Shane Blomberg is 1982023149 and holds a License No. (Mississippi).

The current practice location address for Christopher Shane Blomberg is 859 Winter St, Lucedale, MS and can be reached out via phone at 601-947-3161 and via fax at 601-947-1331.

Location: 859 Winter St, Lucedale, MS, 71202-6400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982023149
Provider Name
Christopher Shane Blomberg
Credential
MD,MS
Provider Entity Type
Individual
Gender
Male
Address
859 Winter St, Lucedale, MS, 71202-6400
Phone Number
601-947-3161
Fax Number
601-947-1331
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
859 Winter St
City
Lucedale
State
Mississippi
Zip
39452-6603
Phone Number
601-947-3161
Fax Number
601-947-1331
person
Provider Business Mailing Address Details
Address
859 Winter St
City
Lucedale
State
Mississippi
Zip
39452-6603
Phone Number
601-947-3161
Fax Number
601-947-1331
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
25078 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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