Thomas R. Blackledge, Jr., Md, PA
NPI #1376861757 in Magee, Mississippi
Provider Information
- NPI Number
- 1376861757
- Entity Type
- Organization
- Organization Name
- Thomas R. Blackledge, Jr., Md, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 11, 2010
- Last Updated
- May 11, 2010
Practice Location
- Address
- 800 3RD ST SW
- City
- Magee
- State
- Mississippi
- ZIP Code
- 39111-3951
- Phone
- (601) 849-1918
Authorized Official
- Name
- THOMAS R. BLACKLEDGE JR., M.D.
- Title
- MD/OWNER
- Phone
- (601) 849-1918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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