Search › Louisiana › 207V00000X

Eddye Blossom, MD

NPI 1003028762 · on the registry since 2007

Practice

Address
4864 Jackson St
Monroe, LA 71202
Phone
(318) 330-7626
Fax
(318) 330-7648
Organisation at this address
Brfhh Monroe Llc
Brfhh Monroe Llc
Brfhh Monroe Llc
Brfhh Monroe Llc
Brfhh Monroe Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207V00000X
207V00000X
Licence states on file
LA, TN, AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana