Individual
WILLIAM S BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
279 CLEAR SKY CT, SUITE B, CLARKSVILLE, TN 37043-5653
(931) 906-9869
Mailing address
279 CLEAR SKY CT, SUITE B, CLARKSVILLE, TN 37043-5653
(931) 906-9869
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
16583
TN
Other
Enumeration date
05/09/2006
Last updated
05/11/2015
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