SearchMississippiPhysician Assistant

Blen Blackwell, PA-C

NPI 1811217409 · on the registry since 2010

Practice

Address
3688 Veterans Memorial Dr.
Suite 200
Hattiesburg, MS 39401
Phone
(601) 554-7400
Fax
(601) 554-7499
Organisation at this address
Southern Surgery Center, Llc
Southern Bone& Joint Specialists
Sunbelt Rehabilitation Systems, Llc
Southern Bone & Joint Specialists, Pa
Southern Bone & Joint Specialists, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-20

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