# DR. DOUGLAS HUNT BLACKLEDGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659683266
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 23160 | MS | Yes |
| 207L00000X | Anesthesiology Physician | T-2288 | MS | — |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 03/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03504265 | — | MS |