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Contact Information

ERICA D BLALOCK, NP
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL35968-3347
 Phone: 256-997-5900
 Fax: 256-997-5995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ERICA D BLALOCK · (Female)

NPI Number 1881095073
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/08/2014
Last updated 03/31/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1131087
  • TN License # 19028
  • AL Medicaid 179228
  • AL Other 1-131087 ALABAMA NP/RN LICENSE
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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