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Organization
THOMAS R. BLACKLEDGE, JR., MD, PA
Active
Organization
THOMAS R. BLACKLEDGE, JR., MD, PA
Active
Other names
Medical Center of Magee
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. BLACKLEDGE JR. M.D. (MD/OWNER)
(601) 849-1918
Entity
Organization
Contact information
Practice address
800 3RD ST SW, MAGEE, MS 39111-3951
(601) 849-1918
(601) 849-1908
Mailing address
PO BOX 748, MAGEE, MS 39111-0748
(601) 849-1918
(601) 849-1908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14559
MS
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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