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Contact Information

TAMMY D BLACKMORE
400 VETERANS AVE
BILOXI, MS39531-2410
 Phone: 228-523-4783
 Fax: 228-523-4384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TAMMY D BLACKMORE · (Female)

NPI Number 1316434327
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2018
Last updated 04/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 4037C
  • MS License # C9233
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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