Individual
DREW STEVEN BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6630 SUMMER KNOLL CIR STE 101, BARTLETT, TN 38134
(901) 746-9438
Mailing address
6630 SUMMER KNOLL CIR STE 101, BARTLETT, TN 38134-2875
(901) 746-9438
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
51931
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02237563
—
MS
05
—
1841532819
—
MO
05
—
Q008983
—
TN
Enumeration date
03/18/2013
Last updated
08/08/2022
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