Individual
DR. JOE DAVID BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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