Eric Blakney

NPI 1063608966 - Internal Medicine - 207R00000X

NPI Details
NPI 1063608966
Enumeration Date 09/24/2007
Last Updated 04/20/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIC D. ERIC
Position OWNER
Phone (901) 756-6991
Fax (901) 756-6908
Practice Location
6005 PARK AVE
SUITE 323B
MEMPHIS TN, 38119-5202, US
Phone (901) 756-6991
Fax (901) 756-6908
Business Location
6005 PARK AVE
SUITE 323B
MEMPHIS TN, 38119-5202, US
Phone (901) 756-6991
Fax (901) 756-6908
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 30789
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According to our database, Eric Blakney NPI is 1063608966, taxonomy code is 207R00000X and license number is 30789, license state is located at Tennessee. Eric Blakney physically located at 6005 Park Ave, Memphis TN, 38119-5202. NPI Number 1033115704 has the healthcare provider type.

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1063608966 NPI number is provided on an as is basis without warranty of any kind. 1063608966 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Blakney are for informational purposes only.