STACY BLALOCK

JOEL T CALLAHAN THOMAS H GREER JR AND A GARY BOONE PTR

Dr STACY BLALOCK is a female medical professional, specializing in Qualified Audiologist. She graduated in 2009.

Contact

JOEL T CALLAHAN THOMAS H GREER JR AND A GARY BOONE PTR

1600 22ND AVE
MERIDIAN
MS
393015149

Tel: 6014835322

STACY BLALOCK Information

Npi 1518325299
Pac Id 8123373552
Professional Enrollment Id I20180626001393
Last Name BLALOCK
First Name STACY
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty QUALIFIED AUDIOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JOEL T CALLAHAN THOMAS H GREER JR AND A GARY BOONE PTR
Group Practice Pac Id 0143390146
Number Of Group Practice Members 21
Line 1 Street Address 1600 22ND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MERIDIAN
State MS
Zip Code 393015149
Phone Number 6014835322
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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