William Tate Blalock in Mountain Home - Physician Assistant
William Tate Blalock - NPI 1134148638
William Tate Blalock is a Physician Assistant in Mountain Home, Tennessee. William Tate Blalock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Tate Blalock is 1134148638. The last update date is 2014-01-28.
William Tate Blalock's current location address is Po Box 4000, Mountain Home, Tennessee. You can contact this provider via phone number 4239793497 and fax number 4239792894. The mailing address for William Tate Blalock is Po Box 4000, Mountain Home, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Tate Blalock |
|---|---|
| Address | Po Box 4000, Mountain Home, Tennessee |
| Phone Number | 4239793497 |
| Fax Number | 4239792894 |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1134148638 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2014-01-28 |
Provider Mailing Address Detail
| Address | Po Box 4000 |
|---|---|
| City | Mountain Home |
| State | Tennessee (TN) |
| Post Code | 376844000 |
| Phone Number | 4239793497 |
| Fax Number | 4239792894 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 409 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8923647 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William Tate Blalock by the Centers for Medicare & Medicaid Services?
The William Tate Blalock has been assigned the NPI (National Provider Identifier) 1134148638. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where William Tate Blalock is located?
The William Tate Blalock is situated at the following address: Po Box 4000, Mountain Home, TN, 376844000.
What is William Tate Blalock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William Tate Blalock is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134148638 to William Tate Blalock?
The Centers for Medicare & Medicaid Services assigned the 1134148638 to William Tate Blalock on 2006-07-18.
When was the information regarding William Tate Blalock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to William Tate Blalock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-28.
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