Individual
JEANA ERA-ELLEN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5318
(256) 536-4700
(256) 536-4117
Mailing address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 551-4631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33988
AL
Other
Enumeration date
05/07/2013
Last updated
07/03/2024
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