Individual
HAROLD JASON BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST. SUITE 301, JACKSON, MS 39202
(601) 353-9900
(601) 353-3654
Mailing address
501 MARSHALL ST. SUITE 301, JACKSON, MS 39202
(601) 353-9900
(601) 353-3654
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17167
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124443
—
MS
01
—
02701951231
AMERICAN MEDICAL ASSOC.
MS
01
—
13012
AMERICAN BOARD OF UROLOGY
MS
01
—
340019033
MEDICARE - RAILROAD
MS
Enumeration date
07/02/2006
Last updated
08/01/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us