HomeNPI Verification

NPI Verification

National Provider Identifier: 1194834747

Joseph W Blackston, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Emergency Medicine

Code: 207P00000X

Internal Medicine

Code: 207R00000X

Primary

Legal Medicine

Code: 209800000X

Practice Address

1900 PETIT BOIS ST N

JACKSON, MS 392116707

Phone: 601-981-4625

NPI Enumeration Date

August 29, 2006

NPI Number

1194834747

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry