Medical Center Of Magee

LBN: Thomas R. Blackledge, Jr., Md, Pa
Medical Center Of Magee is an health care organization with primary practice located at 800 3Rd St Sw , Magee MS 39111-3951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Thomas R. Blackledge, Jr., Md, Pa can be contacted via phone (601) 849-1918, or through Blackledge, Thomas R. via phone (601) 849-1918.

Contact Information

Primary practice address
800 3Rd St Sw Magee MS 39111-3951
Phone: (601) 849-1918
Fax: (601) 849-1908
Website:
Map and Directions
Authorized official contact:
Name: Blackledge, Thomas R. Doctor of Medicine (MD)
Phone: (601) 849-1918

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14559 Mississippi

Profile Details

NPI number 1376861757
LBN Legal business name Thomas R. Blackledge, Jr., Md, Pa
DBA Doing business as Medical Center Of Magee
Authorized official Blackledge, Thomas R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2010
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376861757 NPPES
Mississippi MEDICAID 00115523

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