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Contact Information

DEMARI BLAKELY
4905 TELEPHONE RD
PASCAGOULA, MS39567-1823
 Phone: 228-769-1280
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DEMARI BLAKELY · (Female)

NPI Number 1154153625
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2024
Last updated 08/14/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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