Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW DANA BLAIR, M.D.
Active Sole ProprietorMATTHEW DANA BLAIR, M.D. is a Pediatrics healthcare provider located in MAYNARDVILLE, Tennessee. NPI 1396003802 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · MAYNARDVILLE, TN
Registration Details
- NPI Number
- 1396003802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2012 (14.29294465412 yrs)
- Last Updated
- Sep 29, 2021
- Licenses
-
52703 (TN)52703 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 OAKLAND LNMAYNARDVILLE, TN, 378073354Browse TN providers · Browse ZIP 37807
- Phone
- 8658062182
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatrics
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.