| William Tate Blalock, PA-C | |
|
Dogwood Ave, Quillen Veterans Affairs Medical Center -bldg 204, Mountain Home, TN 37684-4000 | |
| (423) 979-3497 | |
| (423) 979-2894 |
| Full Name | William Tate Blalock |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | Dogwood Ave, Mountain Home, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134148638 | NPI | - | NPPES |
| 8923647 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 409 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| William Tate Blalock, PA-C Po Box 4000, Quillen Veterans Affairs Medical Center, Mountain Home, TN 37684-4000 Ph: (423) 979-3497 | William Tate Blalock, PA-C Dogwood Ave, Quillen Veterans Affairs Medical Center -bldg 204, Mountain Home, TN 37684-4000 Ph: (423) 979-3497 |
Ms. Nancy Karen Bell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: James H. Quillen Vamc, Dogwood Ave. 111c, Mountain Home, TN 37684 Phone: 423-979-3497 Fax: 423-979-3423 | |
Mr. Russell Franklin Lawrence, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Veterans Affairs Medical Center, Lamont And Sydney Streets, Mountain Home, TN 37684 Phone: 423-926-1171 Fax: 423-979-3518 | |
Karen Miller Gunn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Lamont Street, Mountain Home, TN 37684 Phone: 423-926-1171 | |
Mr. Kevin John Mccoy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Sidney And Lamont St, Mountain Home, TN 37684 Phone: 423-926-1171 | |
Jared Michael Shelton, MD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Building 52/lake Drive, Mountain Home, TN 37684 Phone: 423-439-8000 Fax: 423-439-2200 | |
James David Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Sydney & Lamont St, Quillen Vamc, Mountain Home, TN 37684 Phone: 423-926-1171 |