Organization
ERIC BLAKNEY
Active
Other names
Eric Blakney DBA Premier Internal Medicine, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D. BLAKNEY M.D. (OWNER)
(901) 756-6991
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 323B, MEMPHIS, TN 38119-5202
(901) 756-6991
(901) 756-6908
Mailing address
6005 PARK AVE, SUITE 323B, MEMPHIS, TN 38119-5202
(901) 756-6991
(901) 756-6908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4108654
BLUECROSS BLUESHIELD
TN
Enumeration date
09/24/2007
Last updated
04/20/2015
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