Individual
MR. JEREMY PAUL BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(256) 270-6519
Mailing address
181 E 6TH ST STE 510, WINSTON SALEM, NC 27101-2971
(256) 270-6519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148447
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-148447
AL
Other
Enumeration date
07/12/2020
Last updated
12/16/2024
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