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NPI Code Detail

MEDICARE: CARL S BLANKENSHIP MD

MEDICARE: CARL S BLANKENSHIP MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD.19109AL

General Provider Information

NPI Number : 1912922428
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL S BLANKENSHIP MD
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 200 MEDICAL CENTER DR SW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35968-3458
Country : US
Telephone Number : 256-845-3150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 04/03/2026

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Directions to “ CARL S BLANKENSHIP MD” Practice Location

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