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BLAYLOCK MEDICAL CLINIC PA
NPI 1326353798
Clinic/Center - Primary Care in Greenville, MS

Active since August 10, 2010
130 E WALKER ST, GREENVILLE, MS 38701(662) 332-7211(662) 332-0442 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blaylock Medical Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAYLOCK MEDICAL CLINIC PA (NPI 1326353798) is a healthcare organization registered as a primary care in Greenville, Mississippi and active in the NPI registry since August 2010. The organization lists Darrell N Blaylock, M.d., as its authorized official.

NPPES Registry Identity

NPI1326353798
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLAYLOCK MEDICAL CLINIC PA
Location Address130 E WALKER STGreenville, MS 38701-4766
Mailing Address130 E Walker StGreenville, MS 38701-4766 · (662) 332-7211 · Fax (662) 332-0442
Phone(662) 332-7211
Fax(662) 332-0442
Organization SubpartNo
Authorized OfficialDarrell N BlaylockM.d. · (662) 332-7211
Enumeration DateAugust 10, 2010
Last NPPES UpdateAugust 31, 2010
✔ NPI 1326353798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 04644
130 E WALKER ST, Greenville, MS 38701
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaylock Medical Clinic PA's NPI number?

The NPI number for Blaylock Medical Clinic PA is 1326353798. It was assigned to this organization in the NPPES registry on August 10, 2010.

Where is Blaylock Medical Clinic PA located?

Blaylock Medical Clinic PA is located at 130 E Walker St, Greenville, MS 38701. The listed phone number is (662) 332-7211.

What is Blaylock Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Blaylock Medical Clinic PA was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.