Individual
EMMETT BLOUNT III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
1317 BALLAHACK RD, SUITE 100, CHESAPEAKE, VA 23322-2499
(757) 421-8220
Mailing address
1260 SHOTGUN RD, CHESAPEAKE, VA 23322-4505
(757) 421-1800
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/19/2005
Last updated
09/11/2025
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