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Search › Mississippi › 207L00000X

Douglas Blackledge, D.O

NPI 1659683266 · on the registry since 2010

Practice

Address
950 Matthew Dr
Waynesboro, MS 39367
Phone
(601) 735-7246
Fax
(601) 735-7245
Organisation at this address
Wayne General Hospital
Wayne General Hospital
Wayne General Hospital
Wayne General Hospital
Hattiesburg Clinic, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
207L00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-04

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