Individual
JULIAN BLASEIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2478 NASHVILLE HWY STE A, COLUMBIA, TN 38401-0634
(931) 398-6590
(931) 398-6597
Mailing address
505 MAINSTREAM DR, NASHVILLE, TN 37228-1208
(931) 398-6590
(391) 398-6597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64456
TN
Other
Enumeration date
05/22/2019
Last updated
06/14/2024
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