W, Stanford Blalock, Md, Plc

NPI 1548328776 - Specialist - 174400000X

NPI Details
NPI 1548328776
Enumeration Date 12/04/2006
Last Updated 06/30/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM STANFORD WILLIAM
Position OWNER
Phone (931) 906-9860
Fax (931) 906-9858
Practice Location
279 CLEAR SKY CT UNIT 3
CLARKSVILLE TN, 37043-5653, US
Phone (931) 906-9860
Fax (931) 906-9858
Business Location
279 CLEAR SKY CT UNIT 3
CLARKSVILLE TN, 37043-5653, US
Phone (931) 906-9860
Fax (931) 906-9858
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number 16583
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According to our database, W, Stanford Blalock, Md, Plc NPI is 1548328776, taxonomy code is 174400000X and license number is 16583, license state is located at Tennessee. W, Stanford Blalock, Md, Plc physically located at 279 Clear Sky Ct Unit 3, Clarksville TN, 37043-5653. NPI Number 1033115704 has the healthcare provider type.

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1548328776 NPI number is provided on an as is basis without warranty of any kind. 1548328776 is maintained by the National Plan & Provider Enumeration System. The contents of W, Stanford Blalock, Md, Plc are for informational purposes only.