Individual
BRIANNA TAYLOR BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
510 N MAIN ST, ROCKY TOP, TN 37769-2818
(865) 205-9582
(865) 205-9583
Mailing address
510 N MAIN ST, ROCKY TOP, TN 37769-2818
(865) 205-9582
(865) 205-9583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4382
TN
Other
Enumeration date
02/15/2021
Last updated
08/10/2023
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