Individual
HUNTER BLAKE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(423) 773-4462
Mailing address
105 BOXWOOD CIR, KINGSPORT, TN 37663-3574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6569
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2025
Last updated
05/06/2025
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