SearchMississippi207R00000X

Joseph Blackston, MD

NPI 1194834747 · on the registry since 2006

Practice

Address
1900 Petit Bois St N
Jackson, MS 39211
Phone
(601) 981-4625
Fax
(601) 981-4625

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207P00000X
209800000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-11

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