Individual
JESSICA ELLEN BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
911 WEST HENDERSON STREET, SUITE 300, SALISBURY, NC 28144-2700
(704) 636-9270
(704) 636-1095
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 636-9270
(704) 636-1095
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200000362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126PY
—
NC
Enumeration date
01/06/2006
Last updated
10/25/2020
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