| Terri Blackstock, Md, Pa | |
|
124 Sawtooth Oak St Hot Springs AR 71901-7160 | |
| (501) 623-7800 | |
| (501) 623-7866 |
| Full Name | Terri Blackstock, Md, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 124 Sawtooth Oak St, Hot Springs, Arkansas |
| Authorized Official Name and Position | Terri Blackstock (OWNER) |
| Authorized Official Contact | 5016237800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Blackstock, Md, Pa 124 Sawtooth Oak St Hot Springs AR 71901-7160 Ph: (501) 623-7800 | Terri Blackstock, Md, Pa 124 Sawtooth Oak St Hot Springs AR 71901-7160 Ph: (501) 623-7800 |
| NPI Number | 1215135645 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215135645 | NPI | - | NPPES |
| 146525002 | Medicaid | AR | |
| 5K269 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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