JACK H BLALOCK JR, MD, PC
Osteopathic Medicine at Manchester Expy, Columbus, GA

License number
Georgia 012675
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: JACK H BLALOCK JR. MD
Title: CEO
Phone: (706) 327-4317
Address
Address
2300 Manchester Expy STE F1, Columbus, GA 31904
National Provider ID: 1295073070
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACK H. BLALOCK, JR., M.D., PC

2300 Manchester Expy STE F1 SUITE F1, Columbus, GA 31904

Industry:
Medical Doctor's Office
Doing business as:
Jack H Blalock Jr MD
Registration:
Oct 5, 1976
Phone:
(706) 327-4317 (Phone)
State ID:
H608050
Business type:
Domestic Profit Corporation
Office Managers:
H. Jack Blalock (CFO), 6699 Waterford Rd, Columbus, GA 31904 (Physical),Jack H. Blalock (Chief Executive Officer, Endocrinology, Md Pc),Samntha L. Pagano (Chief Information Officer),...

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