Individual
DR. JOE DAVID BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 GREYSTONE SQ, JACKSON, TN 38305-3589
(731) 664-5150
(731) 664-5059
Mailing address
3000 GREYSTONE SQ, JACKSON, TN 38305-3589
(731) 664-5150
(731) 664-5059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11096
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165546
UNISON HEALTH PLAN
TN
05
—
3842457
—
TN
01
—
4102818
BCBST
TN
01
—
7030
TLC
TN
Enumeration date
04/25/2006
Last updated
03/28/2023
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