Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM TATE BLALOCK, P.A.-C.
ActiveWILLIAM TATE BLALOCK, P.A.-C. is a Physician Assistant healthcare provider located in MOUNTAIN HOME, Tennessee. NPI 1134148638 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOUNTAIN HOME, TN
Registration Details
- NPI Number
- 1134148638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (20.057605446131 yrs)
- Last Updated
- Jan 28, 2014
- License
-
409 (TN)
Practice Information
- Address
-
DOGWOOD AVEQUILLEN VETERANS AFFAIRS MEDICAL CENTER -BLDG 204MOUNTAIN HOME, TN, 376844000Browse TN providers · Browse ZIP 37684
- Phone
- 4239793497
- Fax
- 4239792894
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MOUNTAIN HOME, TN
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN JOHN MCCOY | PA-C | 1821022732 |
| MR. RUSSELL FRANKLIN LAWRENCE | PA-C | 1356438394 |
| MRS. KELLEY FOSTER HAMMITT | PA-C | 1740524180 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.