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Individual

ELIZABETH ANN BLAYLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPSGT, RST, CCSH

Contact information

Practice address
1675 SHELBY OAKS DR N STE 7, MEMPHIS, TN 38134-7430
(991) 526-0202
(901) 526-0300
Mailing address
3476 HUNTERFIELD TRL, BARTLETT, TN 38135-3012
(901) 461-4761
(901) 377-4885

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
9
TN

Other

Enumeration date
10/05/2019
Last updated
08/13/2025
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