Individual
MARK E BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
594 S COLUMBIA AVE, STE 100, RINCON, GA 31326-0919
(912) 826-4057
(912) 826-2853
Mailing address
PO BOX 919, RINCON, GA 31326-0919
(912) 826-4057
(912) 826-2853
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
043557
GA
208C00000X
Colon & Rectal Surgery Physician
Primary
043557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00791557A
—
GA
01
—
CN8505
RR MEDICARE
GA
Enumeration date
07/28/2005
Last updated
11/15/2007
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