THOMAS RAYFORD BLACKLEDGE

MAGEE, MS
NPI1497798615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  14559)
Enumeration Date2006-06-14
Last Update Date2013-08-01
Business Address
-- THOMAS RAYFORD BLACKLEDGE MD
800 THIRD ST SW
MAGEE, MS 39111
Phone number: 601-849-1918
Mailing Address
-- THOMAS RAYFORD BLACKLEDGE MD
800 3RD ST SW PO BOX 748
MAGEE, MS 39111-3951
Phone number: 601-849-1918