Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERON BLICKENSTAFF, M.D.
Active Sole ProprietorDR. THERON BLICKENSTAFF, M.D. is a Occupational Medicine healthcare provider located in KINGSPORT, Tennessee. NPI 1467640375 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · KINGSPORT, TN
Registration Details
- NPI Number
- 1467640375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2007 (18.669628475616 yrs)
- Last Updated
- Oct 5, 2007
- License
-
14559 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
709 CLANDON DRKINGSPORT, TN, 376605036Browse TN providers · Browse ZIP 37660
- Phone
- 4233783267
- Primary Specialty
-
Occupational Medicine
2083X0100X
Other Occupational Medicine Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| MR. SAMUEL BREEDING | MD | 1316941230 |
| DR. IBRAHIM HEIBA | MD, MPH | 1356520845 |
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.