Organization
PLASTIC SURGERY OF NASHVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM STANFORD BLALOCK M.D. (PHYSICIAN)
(615) 386-9030
Entity
Organization
Contact information
Practice address
4535 HARDING PIKE, SUITE 304, NASHVILLE, TN 37205-2120
(615) 386-9030
Mailing address
4535 HARDING PIKE, SUITE 304, NASHVILLE, TN 37205-2120
(615) 386-9030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000016583
TN
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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