Gary Christophe Blount in Memphis - Physician Assistant

Gary Christophe Blount - NPI 1316941040

Gary Christophe Blount is a Physician Assistant in Memphis, Tennessee. Gary Christophe Blount practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary Christophe Blount is 1316941040. The last update date is 2019-02-27.

Gary Christophe Blount's current location address is 965 Ridge Lake Blvd Ste 103, Memphis, Tennessee. You can contact this provider via phone number 9012273255 and fax number 9012278591. The mailing address for Gary Christophe Blount is 965 Ridge Lake Blvd Ste 103, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Christophe Blount
Address 965 Ridge Lake Blvd Ste 103, Memphis, Tennessee
Phone Number 9012273255
Fax Number 9012278591
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1316941040
Provider Enumeration Date 2005-06-10
Last Updated Date 2019-02-27

Provider Mailing Address Detail

Address 965 Ridge Lake Blvd Ste 103
City Memphis
State Tennessee (TN)
Post Code 3812094460
Phone Number 9012273255
Fax Number 9012278591

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1075
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3380640 TN GROUP MEDICARE NUMBER
3380640 TN GROUP MEDICAID NUMBER

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FAQs about Gary Christophe Blount

What is the unique 10-digit identification code issued to Gary Christophe Blount by the Centers for Medicare & Medicaid Services?

The Gary Christophe Blount has been assigned the NPI (National Provider Identifier) 1316941040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Gary Christophe Blount located?

The Gary Christophe Blount is located at 965 Ridge Lake Blvd Ste 103, Memphis, TN 3812094460.

What is Gary Christophe Blount's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gary Christophe Blount is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Gary Christophe Blount receive its 1316941040 assignment from the Centers for Medicare & Medicaid Services?

The Gary Christophe Blount was assigned its 1316941040 by the Centers for Medicare & Medicaid Services on 2005-06-10.

When was the information regarding Gary Christophe Blount, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary Christophe Blount, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-02-27.

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