Darrell N Blaylock (NPI# 1750373809, PAC ID# 2567586969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1750373809 |
| PAC ID by PECOS | 2567586969 |
| Professional Enrollment ID | I20100907000663 |
| Full Name | Darrell N Blaylock |
| Address |
130 E Walker St Greenville MS 38701-4766 |
| Gender | M |
| Medical School | MISSISSIPPI MEDICAL COLLEGE |
| Graduation Year | 1962 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250082 | DELTA REGIONAL MEDICAL CENTER |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 E Walker St, Greenville, MS 38701-4766 |
| Street Address |
130 E WALKER ST |
| City | GREENVILLE |
| State | MS |
| Zip | 38701-4766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deniece Russell-mcadory | Nurse Practitioner | Anesthesia Services Associates, Pllc | 1746 C Mississippi State Hwy 1 S, Comprehensive Pain Specialists, Greenville, MS 38701 |
| Robert Searcy Shipp | Optometry | Shipp Family Eyecare Pllc | 1831 S Ml King Jr Blvd, Greenville, MS 38701 |
| Jasmine Donnette Shipp | Optometry | Shipp Family Eyecare Pllc | 1831 S Ml King Jr Blvd, Greenville, MS 38701 |
| Mary Allison Lord | Optometry | Greenville Eye Clinic P.a. | 239 S Washington Ave, Greenville, MS 38701-4234 |
| Wilburn Lord Jr. | Optometry | Greenville Eye Clinic P.a. | 239 S Washington Ave, Greenville, MS 38701-4234 |
| Robert N Suares Jr. | Internal Medicine | Delta Family Medical Services Inc | 344 Arnold Ave, Greenville, MS 38701-4711 |
| Robert N Suares | Ophthalmology | 344 Arnold Ave, Greenville, MS 38701-4711 | |
| Carol C Doolittle | Nurse Practitioner | Delta Family Medical Services Inc | 344 Arnold Ave, Greenville, MS 38701-4711 |
| Robert L Curry Iv | Urology | 344 Arnold Ave, Greenville, MS 38701-4711 | |
| Satwinder Singh | Infectious Disease | 313 Arnold Ave, Greenville, MS 38701-4712 | |
| Find all physicians in zip 38701 | |||
| City | GREENVILLE |
| Zip Code | 38701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GREENVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Darrell N Blaylock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.