Virginia Arrington Blalack, MD
Internal Medicine in Gulfport, MS. Individual provider (NPI-1).
NPI number1295965614
StatusActive
Last updated in NPPESNov 19, 2013
Details
- NPI
- 1295965614
- Entity type
- Individual (NPI-1)
- Name
- Virginia Arrington Blalack
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2009
- Last updated
- Nov 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 22243 | MS | Yes |
| 207R00000X | Internal Medicine | T-2187 | MS |
Practice location
1340 Broad Ave Ste 310Gulfport, MS 39501-2464
Phone 228-575-1400
Mailing address
1340 Broad Ave Ste 310Gulfport, MS 39501-2464
Phone 228-575-1400
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