William Tate Blalock, P.A.-C.
NPI #1134148638 in Mountain Home, Tennessee
Provider Information
- NPI Number
- 1134148638
- Entity Type
- Individual
- Name
- William Tate Blalock, P.A.-C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C.
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Jan 28, 2014
Practice Location
- Address
- DOGWOOD AVE
- Address 2
- QUILLEN VETERANS AFFAIRS MEDICAL CENTER -BLDG 204
- City
- Mountain Home
- State
- Tennessee
- ZIP Code
- 37684-4000
- Phone
- (423) 979-3497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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