Individual
MATTHEW BLANKENSOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2717 WALKER CHAPEL RD, FULTONDALE, AL 35068-1550
(205) 243-3785
Mailing address
2717 WALKER CHAPEL RD, FULTONDALE, AL 35068-1550
(205) 243-3785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-196514
AL
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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