Individual
MRS. MARY COFFEY BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OB-GYN NURSE PRACT.
Contact information
Practice address
177 NEW VALE RD, OFFICE OF E.H. PEREZ, MD, NEWLAND, NC 28657-9198
(828) 733-0085
Mailing address
PO BOX 245, 190 AARON CHURCH LN., MONTEZUMA, NC 28653-0245
(828) 733-3358
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0800049
NC
Other
Enumeration date
03/25/2006
Last updated
04/17/2015
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