Individual
MR. TOMMY MICHAEL BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 HOSPITAL DR, MONROE, NC 28112-6000
(704) 283-3179
(704) 226-5800
Mailing address
600 HOSPITAL DR, MONROE, NC 28112-6000
(704) 283-3179
(704) 226-5800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
031431
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052513
—
NC
Enumeration date
10/24/2006
Last updated
07/08/2007
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