Bertha J Blanchard MD

NPI 1043274616 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1043274616
Gender Female
Enumeration Date 04/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
105 ASBURY CIR
SUITE A
HATTIESBURG MS, 39402-1302, US
Phone (601) 268-5222
Fax (601) 296-3508
Business Location
PO BOX 15548
HATTIESBURG MS, 39404-5548, US
Phone (601) 268-5222
Fax (601) 296-3508
Toxanomy
Taxonomy Code 2084N0400X
License State Mississippi
License Number 11501
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According to our database, Bertha J Blanchard MD NPI is 1043274616, taxonomy code is 2084N0400X and license number is 11501, license state is located at Mississippi. Bertha J Blanchard MD physically located at 105 Asbury Cir, Hattiesburg MS, 39402-1302. NPI Number Bertha J Blanchard MD has the Individual type.

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1043274616 NPI number is provided on an as is basis without warranty of any kind. 1043274616 is maintained by the National Plan & Provider Enumeration System. The contents of Bertha J Blanchard MD are for informational purposes only.