Individual
WILLIAM E BLALOCK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1614 GUNBARREL RD, SUITE 101, CHATTANOOGA, TN 37421
(423) 553-7600
Mailing address
PO BOX 28345, 1614 GUNBARREL RD SUITE 101, CHATTANOOGA, TN 37424-8345
(423) 553-7600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21693
TN
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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