THERON BLICKENSTAFF

KINGSPORT, TN
NPI1467640375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083X0100X Preventive Medicine Occupational Medicine
(Licence: TN  14559)
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
DR. THERON BLICKENSTAFF M.D.
709 CLANDON DR
KINGSPORT, TN 37660-5036
Phone number: 423-378-3267
Mailing Address
DR. THERON BLICKENSTAFF M.D.
709 CLANDON DR
KINGSPORT, TN 37660-5036
Phone number: 423-378-3267
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