Virginia Arrington Blalack, MD

NPI #1295965614 in Gulfport, Mississippi

Provider Information

NPI Number: 1295965614
Entity Type: Individual
Name: Virginia Arrington Blalack, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 20, 2009
Last Updated: Nov 19, 2013

Practice Location

Address: 1340 BROAD AVE STE 310
City: Gulfport
State: Mississippi
ZIP Code: 39501-2464
Phone: (228) 575-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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