Individual
DR. MARY LARTEY BLANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 AVENUE E, BIRMINGHAM, AL 35218-1543
(205) 788-3321
(205) 241-5260
Mailing address
1700 AVENUE E, BIRMINGHAM, AL 35218-1543
(205) 788-3321
(205) 241-5260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00011805
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051516611
BLUE CROSS BLUE SHIELD
AL
05
—
303739090
—
AL
Enumeration date
01/04/2006
Last updated
02/18/2011
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