Individual
DR. STACY MCINNIS-BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1600 22ND AVE, MERIDIAN, MS 39301-3223
(601) 483-5322
(601) 553-2955
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3027
MS
Other
Enumeration date
02/09/2016
Last updated
12/30/2024
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