Individual
ALIEZAH BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15105118
—
TN
05
—
ZECM15105118
—
TN
Enumeration date
12/18/2019
Last updated
02/02/2021
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