NPI

Douglas Hunt Blackledge

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2010-07-12
Last updated
2020-03-04

Specialties

Licenses

License MS
t-2288
License MS
23160

Location

Practice location
950 Matthew Dr
City
Waynesboro MS
Postal code
39367-2567
Phone
(601) 735-7246

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Waynesboro, MS. 153 records in the public file.

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