SearchMississippi152W00000X

Dee Blackwell, O.D

NPI 1053405134 · on the registry since 2006 · sole proprietor

Practice

Address
193 Mars Hill Rd
Petal, MS 39465
Phone
(601) 582-1311
Fax
(601) 582-1311

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi