Individual
CLAY BLANCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 431-7111
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67311
TN
Other
Enumeration date
04/01/2019
Last updated
11/03/2023
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