Individual
MS. PAMELA KAYE BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
Mailing address
309 DEER POINT RD, UNIONVILLE, TN 37180-2004
(931) 639-3803
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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