JACK H BLALOCK JR MD PC NPI 1295073070

NPI Information

JACK H BLALOCK JR, MD, PC is an endocrinology and diabetes and metabolism internal medicine in Columbus, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. JACK H BLALOCK JR, MD, PC NPI is 1295073070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 MANCHESTER EXPY
STE F1
COLUMBUS, GA
ZIP 31904-802
Phone: (706) 660-8505
Fax: (706) 660-1454

The provider's authorized official is Jack H Blalock .
The authorized official title is Ceo and has the following contact phone number (706) 327-4317.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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