Organization
BLANE CLINICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLIN BLANE (AO)
(312) 820-1126
Entity
Organization
Contact information
Practice address
1307 DONELSON PKWY, DOVER, TN 37058-3724
(931) 232-0123
(931) 232-1185
Mailing address
1307 DONELSON PKWY, DOVER, TN 37058-3724
(931) 232-0123
(931) 232-1185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
09/24/2024
Last updated
10/14/2025
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