Blaylock Medical Clinic Pa

LBN: Blaylock Medical Clinic Pa
Blaylock Medical Clinic Pa is an health care organization with primary practice located at 130 E Walker St , Greenville MS 38701-4766. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Blaylock Medical Clinic Pa can be contacted via phone (662) 332-7211, or through Blaylock, Darrell N via phone (662) 332-7211.

Contact Information

Primary practice address
130 E Walker St Greenville MS 38701-4766
Phone: (662) 332-7211
Fax: (662) 332-0442
Website:
Map and Directions
Authorized official contact:
Name: Blaylock, Darrell N Doctor of Medicine (MD)
Phone: (662) 332-7211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 04644 Mississippi

Profile Details

NPI number 1326353798
LBN Legal business name Blaylock Medical Clinic Pa
DBA Doing business as
Authorized official Blaylock, Darrell N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2010
Last updated Aug 31st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers