Healthcare Provider Details

I. General information

NPI: 1881176964
Provider Name (Legal Business Name): DARCY ANN BLANKENSHIP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARCY ANN PERKINS MD

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 HUNTRESS ST STE 100
WETUMPKA AL
36092-3342
US

IV. Provider business mailing address

4371 NARROW LANE RD STE 100
MONTGOMERY AL
36116-2975
US

V. Phone/Fax

Practice location:
  • Phone: 334-567-3309
  • Fax: 334-567-0855
Mailing address:
  • Phone: 334-613-3368
  • Fax: 334-613-3685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39061
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: