W, STANFORD BLALOCK, MD, PLC

CLARKSVILLE, TN
NPI1548328776
Entity TypeOrganization
Authorized ContactWILLIAM STANFORD BLALOCK
Owner
931-906-9860
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: TN  16583)
Enumeration Date2006-12-04
Last Update Date2015-06-30
Business Address
W, STANFORD BLALOCK, MD, PLC
279 CLEAR SKY CT UNIT 3
CLARKSVILLE, TN 37043-5653
Phone number: 931-906-9860
Mailing Address
W, STANFORD BLALOCK, MD, PLC
279 CLEAR SKY CT UNIT 3
CLARKSVILLE, TN 37043-5653
Phone number: 931-906-9860
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