Clinton Jed Blaine, P.A.

NPI #1558340844 in Huntingdon, Tennessee

Provider Information

NPI Number
1558340844
Entity Type
Individual
Name
Clinton Jed Blaine, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Jan 13, 2006
Last Updated
Feb 16, 2022

Practice Location

Address
3500 PURDY RD
ZIP Code
38344-8050
Phone
(731) 986-2536

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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