Dr. Tara L. F. Blasingame, D.P.M.
in Madison, AL. Individual provider (NPI-1).
NPI number1770565699
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1770565699
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tara L. F. Blasingame
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Last updated
- Mar 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | AL164 | AL | Yes | |
| 213ES0131X | 714 | GA |
Practice location
131 W Dublin DrSuite A
Madison, AL 35758-1787
Phone 256-772-8566 · Fax 256-774-8211
Mailing address
Po Box 6487Huntsville, AL 35813-0487
Phone 256-772-8566 · Fax 256-774-8211
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