Jeremy Ty Blackwell in Jasper - Family Medicine
Jeremy Ty Blackwell - NPI 1205053352
Jeremy Ty Blackwell is a Family Medicine in Jasper, Alabama. Jeremy Ty Blackwell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeremy Ty Blackwell is 1205053352. The last update date is 2013-02-01.
Jeremy Ty Blackwell's current location address is 1450 Jones Dairy Road, Jasper, Alabama. You can contact this provider via phone number 2053878159 and fax number 2053878262. The mailing address for Jeremy Ty Blackwell is 1450 Jones Dairy Road, Jasper, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Ty Blackwell |
|---|---|
| Address | 1450 Jones Dairy Road, Jasper, Alabama |
| Phone Number | 2053878159 |
| Fax Number | 2053878262 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205053352 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2013-02-01 |
Provider Mailing Address Detail
| Address | 1450 Jones Dairy Road |
|---|---|
| City | Jasper |
| State | Alabama (AL) |
| Post Code | 355016109 |
| Phone Number | 2053878159 |
| Fax Number | 2053878262 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 27715 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeremy Ty Blackwell by the Centers for Medicare & Medicaid Services?
The Jeremy Ty Blackwell has been issued the NPI (National Provider Identifier) 1205053352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jeremy Ty Blackwell is physically located?
The Jeremy Ty Blackwell is situated at the following address: 1450 Jones Dairy Road, Jasper, AL 355016109.
What is the Jeremy Ty Blackwell's specialty and taxonomy code?
The Jeremy Ty Blackwell's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Jeremy Ty Blackwell receive its 1205053352 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Ty Blackwell was assigned its 1205053352 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the Jeremy Ty Blackwell's information last updated?
The Jeremy Ty Blackwell's information was last updated on 2013-02-01.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE