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W, Stanford Blalock, Md, Plc
Specialist in Clarksville, Tennessee
NPI 1548328776

W, Stanford Blalock, Md, Plc is a Specialist based in Clarksville, TN. W, Stanford Blalock, Md, Plc practices in Clarksville, TN. The NPI Number for W, Stanford Blalock, Md, Plc is 1548328776 and holds a License No. 16583 (Tennessee).

The current practice location address for W, Stanford Blalock, Md, Plc is 279 Clear Sky Ct Unit 3, Clarksville, TN and can be reached out via phone at 931-906-9860 and via fax at 931-906-9858.

Location: 279 Clear Sky Ct Unit 3, Clarksville, TN, 37043-5653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548328776
Provider Name
W, Stanford Blalock, Md, Plc
Credential
Provider Entity Type
Organization
Address
279 Clear Sky Ct Unit 3, Clarksville, TN, 37043-5653
Phone Number
931-906-9860
Fax Number
931-906-9858
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
279 Clear Sky Ct Unit 3
City
Clarksville
State
Tennessee
Zip
37043-5653
Phone Number
931-906-9860
Fax Number
931-906-9858
person
Provider Business Mailing Address Details
Address
279 Clear Sky Ct Unit 3
City
Clarksville
State
Tennessee
Zip
37043-5653
Phone Number
931-906-9860
Fax Number
931-906-9858
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
16583 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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