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Organization

MARVIN ASBURY BLANTON III MD PC

Active
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Organization

MARVIN ASBURY BLANTON III MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA FAYE ISBELL (OFFICE MANAGER)
(731) 885-6662
Entity
Organization

Contact information

Practice address
1720 EAST REELFOOT AVE, SUITE 104, UNION CITY, TN 38261-6004
(731) 885-6662
(731) 885-6643
Mailing address
2379 WALKER TANNER RD, UNION CITY, TN 38261-8209
(731) 885-6662
(731) 885-6643

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00005749
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3724967
TN
Enumeration date
02/05/2007
Last updated
06/25/2008
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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