Thomas Blanks M.D.

NPI 1063452639 - Internal Medicine - 207R00000X

NPI Details
NPI 1063452639
Gender Male
Enumeration Date 06/08/2006
Last Updated 07/10/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1110 BROAD AVE
SUITE 700
GULFPORT MS, 39501-8907, US
Phone (228) 864-0314
Fax (228) 864-0425
Business Location
PO BOX 1810
GULFPORT MS, 39502-1810, US
Phone (228) 865-1453
Fax (228) 865-1451
Toxanomy
Taxonomy Code 207R00000X
License State Mississippi
License Number 08702
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According to our database, Dr. Thomas Blanks M.D. NPI is 1063452639, taxonomy code is 207R00000X and license number is 08702, license state is located at Mississippi. Thomas Blanks M.D. physically located at 1110 Broad Ave, Gulfport MS, 39501-8907. NPI Number Thomas Blanks M.D. has the Individual type.

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1063452639 NPI number is provided on an as is basis without warranty of any kind. 1063452639 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Blanks M.D. are for informational purposes only.