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Individual

WILLIAM BLAKE TENNANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.37904
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271047
AL
Enumeration date
04/08/2017
Last updated
02/11/2026
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