Individual
CARSON THOMAS BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1720 CENTER ST, MOBILE, AL 36604-3304
(251) 660-5798
Mailing address
265 MOHAWK ST, MOBILE, AL 36606-4433
(256) 612-8234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2316
AL
Other
Enumeration date
03/21/2024
Last updated
03/31/2025
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