AMANDA BLACKWELL

JACKSON, MS
NPI1104529551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  T-5140)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-24
Last Update Date2023-07-12
Business Address
AMANDA BLACKWELL MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 228-218-0246
Mailing Address
AMANDA BLACKWELL MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: