Eddye Blossom in Monroe - Obstetrics & Gynecology

Eddye Blossom - NPI 1003028762

Eddye Blossom is a Obstetrics & Gynecology in Monroe, Louisiana. Eddye Blossom practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Eddye Blossom is 1003028762. The last update date is 2013-01-24.

Eddye Blossom's current location address is 4864 Jackson St, Monroe, Louisiana. You can contact this provider via phone number 3183307626 and fax number 3183307648. The mailing address for Eddye Blossom is 4864 Jackson St, Monroe, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Eddye Blossom
Address 4864 Jackson St, Monroe, Louisiana
Phone Number 3183307626
Fax Number 3183307648
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003028762
Provider Enumeration Date 2007-05-04
Last Updated Date 2013-01-24

Provider Mailing Address Detail

Address 4864 Jackson St
City Monroe
State Louisiana (LA)
Post Code 712026400
Phone Number 3183307626
Fax Number 3183307648

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No MD.204270
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2138014 LA --

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FAQs about Eddye Blossom

What is the Eddye Blossom's unique identification number?

The Eddye Blossom has been assigned the NPI (National Provider Identifier) Number 1003028762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Eddye Blossom's facilities are situated?

The facilities of Eddye Blossom are physically located at the following address: 4864 Jackson St, Monroe, LA, 712026400.

What is Eddye Blossom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Eddye Blossom is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 207V00000X.

When did the Eddye Blossom receive its 1003028762?

The Eddye Blossom was issued its 1003028762 on 2007-05-04, which is the date when the organization was assigned this unique identifier.

When was the information regarding Eddye Blossom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Eddye Blossom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-24.

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