Individual
MATTHEW SCOTT BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1035 14TH AVE N, NASHVILLE, TN 37208-3050
(615) 327-9400
Mailing address
979 HEDGE APPLE DR, CLARKSVILLE, TN 37040-2877
(270) 703-2718
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
TN
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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