Tully T. Blalock JR., MD

NPI #1417004359 in Rockledge, Florida

Provider Information

NPI Number: 1417004359
Entity Type: Individual
Name: Tully T. Blalock JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jan 4, 2007
Last Updated: Sep 12, 2011

Practice Location

Address: 220 BARTON BLVD
Address 2: UNIT C14
City: Rockledge
State: Florida
ZIP Code: 32955-2742
Phone: (321) 639-5177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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