Organization
MILLENNIUM ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BLANKENSHIP MD (SECRETARY)
(256) 635-0991
Entity
Organization
Contact information
Practice address
1701 PELHAM ROAD S, JACKSONVILLE, AL 36265
(256) 635-0991
(256) 635-0992
Mailing address
P.O. BOX 681268, FORT PAYNE, AL 35968
(256) 635-0991
(256) 635-0992
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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