Individual
DR. DONALD W BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1023 MEDICAL CENTER PKWY, SUITE 200, SELMA, AL 36701-6780
(334) 875-4184
Mailing address
1023 MEDICAL CENTER PKWY, SUITE 200, SELMA, AL 36701-6780
(334) 875-4184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
183
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51042362
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/06/2006
Last updated
07/08/2007
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