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Organization
J D BLANKENSHIP DO LLC
Active
Organization
J D BLANKENSHIP DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID BLANKENSHIP D.O. (FAMILY PHYSICIAN)
(256) 683-7050
Entity
Organization
Contact information
Practice address
401 LOWELL DR SE, STE 14, HUNTSVILLE, AL 35801-3748
(256) 534-7235
(256) 534-7268
Mailing address
420 LOWELL DR SE STE 103, HUNTSVILLE, AL 35801-3755
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO 630
AL
Other
Enumeration date
09/08/2011
Last updated
07/20/2012
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