Internal Medicine
VIRGINIA BLALACK MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295965614 · enumerated 2009-07-20 · record updated 2013-11-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1340 BROAD AVE STE 310, GULFPORT, MS, 39501-2464 (228) 575-1400 Google Maps Apple Maps OpenStreetMap
- Mailing address 1340 BROAD AVE STE 310, GULFPORT, MS, 39501-2464 (228) 575-1400 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License T-2187 MS
- Internal Medicine 207R00000X · Primary · License 22243 MS
In this directory
Locations and evidence
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Practice location
GULFPORT, MS, 395012464
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.