Individual
MR. BLAKE HANSON MCLEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1205
Mailing address
424 PARAMOUNT LN, HOOVER, AL 35226-1536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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