Individual
MR. MARC EDWARD BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
5401 KINGSTON PIKE STE 540, KNOXVILLE, TN 37919-5054
(865) 584-7376
Mailing address
5401 KINGSTON PIKE STE 540, KNOXVILLE, TN 37919-5054
(865) 584-7376
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA 0000000010
TN
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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