JOHN B BLALOCK JR.

Address: 2660 10th Ave S, Suite 238, Birmingham, AL 35205-1605
Phone: 2059337301

JOHN B BLALOCK JR. (NPI# 1063685352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063685352
Entity Type 1 - Individual
Full Name JOHN B BLALOCK JR.
Credential M.D.
Practice Address 2660 10th Ave S
Suite 238
Birmingham
AL 35205-1605
Practice Telephone 2059337301
Enumeration Date 04/08/2008
Last Update Date 05/25/2010
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 9169 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 000087171 05

Office Location

Street Address 2660 10TH AVE S
SUITE 238
City BIRMINGHAM
State AL
Zip Code 35205-1605

Providers with the same location

NPI Name Address
1568466597 JANE PEARSON MD PA 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605
1235134735 DAVID BAKER O'NEAL 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605
1164421129 DR. ROY FRANCIS STANTON, III 2660 10th Ave S, Suite 401, Birmingham, AL 35205-1605
1205818242 DR. WILLIAM DAVID WHITLEY 2660 10th Ave S, Suite 608, Birmingham, AL 35205-1605
1699759381 JOHN B BLALOCK JR MD PC 2660 10th Ave S, Ste 238, Birmingham, AL 35205-1605
1457337073 ST. VINCENT'S P.E.T. CENTER, LLC 2660 10th Ave S, Pob 1, First Floor, Suite 104, Birmingham, AL 35205-1605
1316913965 DR. RICHARD WAYNE WAGUESPACK 2660 10th Ave S, Suite 201, Birmingham, AL 35205-1605
1053389981 SHARON KAY MAYBERRY 2660 10th Ave S, Suite 107, Birmingham, AL 35205-1605
1821066390 JOHN THOMAS KILLIAN 2660 10th Ave S, Suite 107, Birmingham, AL 35205-1605
1003871633 ROGER DEAN BRUCE 2660 10th Ave S, Suite 636, Birmingham, AL 35205-1605

Competitor

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City BIRMINGHAM
Zip Code 35205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.