Individual
JEFFREY G BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 PROFESSIONAL CIR, WILLIAMSBURG, VA 23185-3374
(757) 345-6491
(757) 345-6494
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101237399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010175879
—
VA
01
—
080055739
RR/MEDICARE
—
Enumeration date
10/31/2005
Last updated
03/19/2021
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