SearchArkansas101YM0800X

Jerry Blaylock, M.D

NPI 1922038975 · on the registry since 2006 · sole proprietor

Practice

Address
901 S Church St
Jonesboro, AR 72401
Phone
(870) 935-0360
Fax
(870) 972-8603

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-22

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 Arkansas