WILLIAM GEORGE BLAKER

MARYVILLE, TN
NPI1568086288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN  171293)
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
WILLIAM GEORGE BLAKER MSN
1551 CAVALIER DR
MARYVILLE, TN 37803-9206
Phone number: 865-654-8868
Mailing Address
WILLIAM GEORGE BLAKER MSN
1551 CAVALIER DR
MARYVILLE, TN 37803-9206
Phone number: 865-654-8868
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