ASHLEY DAWN BLACKWELL

PREMIER FOOT CLINIC PC

Dr ASHLEY DAWN BLACKWELL is a female medical professional, specializing in Podiatry. She graduated in 2010 from Ohio College Of Podiatric Medicine.

Contact

PREMIER FOOT CLINIC PC

705 HWY 80 W
CLINTON
MS
390564103

Tel: 6019261500

ASHLEY DAWN BLACKWELL Information

Npi 1578884466
Pac Id 1052545654
Professional Enrollment Id I20131015001202
Last Name BLACKWELL
First Name ASHLEY
Middle Name DAWN
Suffix
Gender F
Credential
Medical School Name OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2010
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PREMIER FOOT CLINIC PC
Group Practice Pac Id 0648204115
Number Of Group Practice Members 3
Line 1 Street Address 705 HWY 80 W
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON
State MS
Zip Code 390564103
Phone Number 6019261500
Hospital Affiliation Ccn 1 250072
Hospital Affiliation Lbn 1 MERIT HEALTH CENTRAL
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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