| Jack H Blalock Jr, Md, Pc | |
|
2300 Manchester Expy Ste F1 Columbus GA 31904-6802 | |
| (706) 660-8505 | |
| (706) 660-1454 |
| Full Name | Jack H Blalock Jr, Md, Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2300 Manchester Expy, Columbus, Georgia |
| Authorized Official Name and Position | Jack H Blalock (CEO) |
| Authorized Official Contact | 7063274317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack H Blalock Jr, Md, Pc 2300 Manchester Expy Ste F1 Columbus GA 31904-6802 Ph: (706) 660-8505 | Jack H Blalock Jr, Md, Pc 2300 Manchester Expy Ste F1 Columbus GA 31904-6802 Ph: (706) 660-8505 |
| NPI Number | 1295073070 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295073070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 012675 (Georgia) | Primary |
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