Scott Blackburn is a Surgery in Gulfport, Mississippi. Scott Blackburn practices all healthcare services and medical treatments related to Surgery. The NPI Number for Scott Blackburn is 1770747081. The last update date is 2015-10-05.
Scott Blackburn's current location address is Po Box 1810, Gulfport, Mississippi. You can contact this provider via phone number 2285751200 and fax number 2285751205. The mailing address for Scott Blackburn is Po Box 1810, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Blackburn |
|---|---|
| Address | Po Box 1810, Gulfport, Mississippi |
| Phone Number | 2285751200 |
| Fax Number | 2285751205 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1770747081 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
| Address | Po Box 1810 |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395021810 |
| Phone Number | 2285751200 |
| Fax Number | 2285751205 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 22156 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900834 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Scott Blackburn by the Centers for Medicare & Medicaid Services?
The Scott Blackburn has been assigned the NPI (National Provider Identifier) 1770747081 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Scott Blackburn is physically located?
The Scott Blackburn is situated at the following address: Po Box 1810, Gulfport, MS 395021810.
What is Scott Blackburn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott Blackburn is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770747081 to Scott Blackburn?
The Centers for Medicare & Medicaid Services assigned the 1770747081 to Scott Blackburn on 2008-07-16.
As of what date were the details pertaining to Scott Blackburn last refreshed?
The information related to the Scott Blackburn, including its address, specialty, and other relevant details, was last updated on 2015-10-05.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH