Blake Alexander Medley

NPI #1043880834 in Talbott, Tennessee

Provider Information

NPI Number: 1043880834
Entity Type: Individual
Name: Blake Alexander Medley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 25, 2021
Last Updated: Jun 25, 2021

Practice Location

Address: 204 SHAVER DR
City: Talbott
State: Tennessee
ZIP Code: 37877-8552
Phone: (423) 581-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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