Individual
MARY ANNE BLAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 MURPHY AVE, STE 102, NASHVILLE, TN 37203-1835
(615) 329-9586
(615) 329-9504
Mailing address
PO BOX 440222, NASHVILLE, TN 37244-0222
(615) 329-9586
(615) 329-9504
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17318
TN
Other
Enumeration date
05/23/2005
Last updated
07/08/2007
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