Mark E Blankenship, MD Valid NPI

Individual provider · Colon & Rectal Surgery Physician · Rincon, GA

NPI

1861492191

Type

Individual (Type 1)

Primary specialty

Colon & Rectal Surgery Physician (Colon & Rectal Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208C00000X

License number

043557 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-28

Last updated

2007-11-15