Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaylock Medical Clinic PA

Organization Primary Care Clinic/Center · NPI 1326353798

Blaylock Medical Clinic PA is a Primary Care Clinic/Center in Greenville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 E Walker St
Greenville, MS 38701-4766
Phone: (662) 332-7211
Fax: (662) 332-0442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 04644 (MS)

Record details

NPI number1326353798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darrell Blaylock — M.D. · (662) 332-7211
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 31, 2010
Mailing address130 E Walker St, Greenville, MS 38701-4766

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