Individual
DR. JOE HARRY BLANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 AVENUE E, BIRMINGHAM, AL 35218-1543
(205) 788-3321
(205) 241-5260
Mailing address
1700 AVENUE E, BIRMINGHAM, AL 35218-1543
(205) 788-3321
(205) 241-5260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00011655
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051036526
BLUE CROSS BLUE SHIELD
AL
01
—
1508844184
NPI
—
01
—
1942235825
MEDICARE GROUP PAYEE NPI
AL
05
—
303739314
—
AL
01
—
D074
MEDICARE GROUP NUMBER
AL
Enumeration date
01/04/2006
Last updated
03/02/2010
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