DR. Fred Blackledge, M.D.
NPI #1003890179 in Jackson, Mississippi
Provider Information
- NPI Number
- 1003890179
- Entity Type
- Individual
- Name
- DR. Fred Blackledge, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Plastic Surgery
- Credential
- M.D.
- Enumeration Date
- Dec 2, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 764 LAKELAND DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4617
- Phone
- (601) 981-3033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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