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Organization

JAMES J. BLOUNT, III, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES JEFFERY BLOUNT III MD (OWNER)
(601) 798-1512
Entity
Organization

Contact information

Practice address
517 FIFTH AVE, PICAYUNE, MS 39466-3203
(601) 798-1512
(601) 798-0448
Mailing address
517 FIFTH AVE, PICAYUNE, MS 39466-3203
(601) 798-1512
(601) 798-0448

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15547
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0118379
MS
05
1979694
LA
Enumeration date
03/07/2007
Last updated
09/28/2011
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