Individual
DR. JOHN DAVID BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 LOWELL DR SE STE 14, HUNTSVILLE, AL 35801-3738
(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
02709
KY
207Q00000X
Family Medicine Physician
Primary
DO630
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64036296
—
KY
Enumeration date
12/28/2005
Last updated
07/24/2012
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