Individual
VIRGINIA ARRINGTON BLALACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 BROAD AVE STE 310, GULFPORT, MS 39501-2464
(228) 575-1400
Mailing address
1340 BROAD AVE STE 310, GULFPORT, MS 39501-2464
(228) 575-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22243
MS
207R00000X
Internal Medicine Physician
T-2187
MS
Other
Enumeration date
07/20/2009
Last updated
11/19/2013
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