BLAKE ALEXANDER MEDLEY

TALBOTT, TN
NPI1043880834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  4617)
Enumeration Date2021-06-25
Last Update Date2021-06-25
Business Address
BLAKE ALEXANDER MEDLEY
204 SHAVER DR
TALBOTT, TN 37877-8552
Phone number: 423-581-7040
Mailing Address
BLAKE ALEXANDER MEDLEY
204 SHAVER DR
TALBOTT, TN 37877-8552
Phone number: 423-581-7040
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