Individual
DR. DANIELLE D. BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 399-6167
(601) 399-6281
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6167
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
20546
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00608516
—
MS
Enumeration date
06/01/2007
Last updated
02/11/2014
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