FRED BLACKLEDGE

JACKSON, MS
NPI1003890179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: MS  16006)
Enumeration Date2005-12-02
Last Update Date2007-07-08
Business Address
Dr. FRED BLACKLEDGE M.D.
764 LAKELAND DR
JACKSON, MS 39216-4617
Phone number: 601-981-3033
Mailing Address
Dr. FRED BLACKLEDGE M.D.
PO BOX 24023
JACKSON, MS 39225-4023
Phone number: 601-366-1400
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