Individual
CARL S BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 845-3150
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.19109
AL
261QP3300X
Pain Clinic/Center
Primary
31850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051513287
BLUECROSS
AL
05
—
051513287
—
AL
Enumeration date
07/13/2006
Last updated
04/03/2026
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