Individual
BENJAMIN MICHAEL BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
946 WINFIELD DUNN PARKWAY, SUITE 107, KODAK, TN 37764
(865) 640-5692
Mailing address
PO BOX 32608, KNOXVILLE, TN 37930-2608
(865) 640-5692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16629
TN
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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