Individual
DR. AMY PAXTON BLOSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
398 E MAIN ST STE 109, TUPELO, MS 38804-4039
(601) 201-5673
(844) 333-0389
Mailing address
398 E MAIN ST STE 109, TUPELO, MS 38804-4039
(601) 201-5673
(844) 333-0389
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20261
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01186021
—
MS
Enumeration date
08/28/2008
Last updated
05/13/2025
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