DEREK BLANKENSHIP

JACKSON, TN
NPI1194106690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  2793)
Enumeration Date2015-06-10
Last Update Date2015-10-05
Business Address
-- DEREK BLANKENSHIP PA-C
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-6180
Mailing Address
-- DEREK BLANKENSHIP PA-C
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number:
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