Harold Jason Blalock in Jackson - Urology

Harold Jason Blalock - NPI 1730118696

Harold Jason Blalock is a Urology in Jackson, Mississippi. Harold Jason Blalock practices all healthcare services and medical treatments related to Urology. The NPI Number for Harold Jason Blalock is 1730118696. The last update date is 2019-08-01.

Harold Jason Blalock's current location address is 501 Marshall St. Suite 301, Jackson, Mississippi. You can contact this provider via phone number 6013539900 and fax number 6013533654. The mailing address for Harold Jason Blalock is 501 Marshall St. Suite 301, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Harold Jason Blalock
Address 501 Marshall St. Suite 301, Jackson, Mississippi
Phone Number 6013539900
Fax Number 6013533654
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1730118696
Provider Enumeration Date 2006-07-02
Last Updated Date 2019-08-01

Provider Mailing Address Detail

Address 501 Marshall St. Suite 301
City Jackson
State Mississippi (MS)
Post Code 39202
Phone Number 6013539900
Fax Number 6013533654

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 17167
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
124443 MS --
2701951231 MS AMERICAN MEDICAL ASSOC.
340019033 MS MEDICARE - RAILROAD
13012 MS AMERICAN BOARD OF UROLOGY

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FAQs about Harold Jason Blalock

What is the unique 10-digit identification code assigned to Harold Jason Blalock by the Centers for Medicare & Medicaid Services?

The Harold Jason Blalock has been issued the NPI (National Provider Identifier) 1730118696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Harold Jason Blalock located?

The Harold Jason Blalock is located at 501 Marshall St. Suite 301, Jackson, MS 39202.

What is Harold Jason Blalock's specialized field of practice, and what is the corresponding taxonomy classification code?

The Harold Jason Blalock's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1730118696 to Harold Jason Blalock?

The Centers for Medicare & Medicaid Services assigned the 1730118696 to Harold Jason Blalock on 2006-07-02.

As of what date were the details related to Harold Jason Blalock most recently updated or revised?

The information pertaining to Harold Jason Blalock, including its address, specialty, and other relevant details, was last updated or revised on 2019-08-01.

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