DR. JACK HIBLER BLALOCK JR.


Address: 2300 Manchester Expw, F1 St Francis Medical Park, Columbus, GA 31904-6802
Phone: 7063274317

DR. JACK HIBLER BLALOCK JR. (NPI# 1225134414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225134414
Entity Type Individual
Full Name DR. JACK HIBLER BLALOCK JR.
Credential MD PC
Practice Address 2300 Manchester Expw
F1 St Francis Medical Park
Columbus
GA 31904-6802
Mailing Address 1800 Warm Springs Rd
Suite A
Columbus
GA 31904-8059
Practice Telephone 7063274317
Practice Fax Number 7063270936
Mailing Telephone 7063274317
Mailing Fax Number 7063270936
Enumeration Date 2006-09-15
Last Update Date 2016-10-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
12675 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000007499A 05

Office Location

Street Address 2300 MANCHESTER EXPW
F1 ST FRANCIS MEDICAL PARK
City COLUMBUS
State GA
Zip Code 31904-6802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821641457 At Home Palliative Care, LLC Nursing Care 114 Enterprise Ct, Suite B, Columbus, GA 31904 2019-07-23
1285191049 Shandra Ladell Grimes Nurse Practitioner 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 2019-02-27
1881161529 Lesley Kathleen Simmons Massage Therapist 5402 15th Ave, Columbus, GA 31904 2018-10-31
1184190662 Alphonsa Joseph Nurse Practitioner 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 2018-10-22
1568942704 William Pearce Massey Social Worker 8851-1 Moore Road, Columbus, GA 31904 2018-08-17
1033696372 Marlise V. Gray Counselor 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 2018-07-19
1710418173 Amanda Barnette Pruett Behavioral Analyst 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 2017-03-27
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1609323369 Shomika Lasha Battle Registered Nurse 2101 North Avenue, Columbus, GA 31904 2016-09-09
1952759219 Peaceful River Home Care Agency In Home Supportive Care 738 Rudgate Road, Columbus, GA 31904 2016-05-27
Find all providers in zip 31904

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861797136 Latinos Unidos De Columbus Ga Inc Internal Medicine 5353 Veterans Pkwy, Columbus, GA 31904-4495 2011-01-18
1700928173 Lekshmi Thankam Nair Internal Medicine 395 Taylor Ave, Columbus, OH 43203-1222 2007-02-13
1831112473 Tariq Jamil Khan Internal Medicine 4882 E Main St Ste 210, Columbus, OH 43213 2006-07-25
1306893433 Elena A Christofides Internal Medicine 72 W 3rd Ave, Columbus, OH 43201-3209 2006-05-27
1659331668 Garry Lewis August Internal Medicine 1519 13th Avenue, Columbus, GA 31901-1908 2006-03-24
1588653711 Romi Bhasin Internal Medicine 4895 Olentangy River Rd, Suite 100, Columbus, OH 43214-1926 2005-10-20
1811373657 Himani Sharma Internal Medicine 815 Schnier St, Columbus, IN 47201-2619 2015-08-04
1295177053 Jenan Gabi Internal Medicine 4882 E Main St Ste 210, Columbus, OH 43213 2013-07-22
1063755379 Pratima Ravindra Nayak Internal Medicine 420 N James Rd, Columbus, OH 43219-1834 2013-04-04
1700128899 Katherine Jeanne Kendjorsky Internal Medicine 7630 Rivers Edge Dr, Columbus, OH 43235 2013-03-26
Find all providers in COLUMBUS

Competitor

Search similar providers

City COLUMBUS
Zip Code 31904

Improve Information

Please comment or provide details below to improve the information on DR. JACK HIBLER BLALOCK JR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches