# MILLENNIUM ANESTHESIA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447332937
- **Authorized official:** CARL BLANKENSHIP MD (SECRETARY)
- **Authorized official phone:** (256) 635-0991

## Contact information

- **Practice address:** 1701 PELHAM ROAD S, JACKSONVILLE, AL 36265
- **Practice address phone:** (256) 635-0991
- **Practice address fax:** (256) 635-0992
- **Mailing address:** P.O. BOX 681268, FORT PAYNE, AL 35968
- **Mailing address phone:** (256) 635-0991
- **Mailing address fax:** (256) 635-0992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020