Most Relevant Information
Provider Data
| NPI Number: | 1003028762 |
| Provider Name: | EDDYE BLOSSOM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | MD.204270 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 01/24/2013 |
Provider Practice Location
4864 JACKSON ST
MONROE
LA
712026400
Practice Location Phone/Fax
| Phone: | 3183307626 |
| Fax: | 3183307648 |
Provider Mailing Location
4864 JACKSON ST
MONROE
LA
712026400
Provider Mailing Phone/Fax
| Phone: | 3183307626 |
| Fax: | 3183307648 |
Suggested EMR
OBGYN EMR