Individual
CORLIANN BLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(267) 997-6236
Mailing address
125 S CONGRESS ST APT 1104, JACKSON, MS 39201-3410
(267) 997-6236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T-5883
MS
Other
Enumeration date
06/19/2022
Last updated
07/27/2025
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