Blankenship, Mark E
Blankenship, Mark E is an individual health care provider with primary practice located at 594 S Columbia Ave Ste 100, Rincon GA 31326-0919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Blankenship, Mark E can be contacted via phone (912) 826-4057.Contact Information
Primary practice address
594 S Columbia Ave Ste 100
Rincon GA 31326-0919
Phone: (912) 826-4057
Fax: (912) 826-2853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 043557 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 043557 | Georgia |
Profile Details
| NPI number | 1861492191 |
|---|---|
| LBN Legal business name | Blankenship, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Nov 15th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861492191 | NPPES |
| Georgia | Other | CN8505 | RR MEDICARE |
| Georgia | MEDICAID | 00791557A | RR MEDICARE |
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