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1073735304
MELANIE BLACK BLAKE
HIXSON, TN
NPI
1073735304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 44821)
Enumeration Date
2007-05-03
Last Update Date
2023-06-30
Business Address
MELANIE BLACK BLAKE MD
1008 EXECUTIVE DR STE 104
HIXSON, TN 37343-3992
Phone number: 423-497-5363
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Mailing Address
MELANIE BLACK BLAKE MD
532 FERN TRL
SIGNAL MOUNTAIN, TN 37377-3167
Phone number: 205-999-0232
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