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Shelby Blalock
NPI 1851095798 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3623 Kirkland Ln
Liberty, MS 39645 - Phone
- (769) 244-2908
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-27
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