Blake Revlett
NPI #1346955168 in Murfreesboro, Tennessee
Provider Information
- NPI Number
- 1346955168
- Entity Type
- Individual
- Name
- Blake Revlett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 16, 2023
- Last Updated
- Jan 16, 2023
Practice Location
- Address
- 1508 CARL ADAMS DR UNIT 200
- City
- Murfreesboro
- State
- Tennessee
- ZIP Code
- 37129-4375
- Phone
- (615) 893-4896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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