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Individual

DR. ALBERT ROBERT BLACKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4308
(865) 691-4850
(865) 694-8018
Mailing address
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4308
(865) 691-4850
(865) 694-8018

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28082
TN
207RI0011X
Interventional Cardiology Physician
Primary
28082
TN

Other

Enumeration date
09/29/2005
Last updated
08/17/2020
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