| NPI | 1518168616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STANFORD BLALOCK Physician 615-386-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 0000016583) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |