Marvin Asbury Blanton Iii Md Pc

LBN: Marvin Asbury Blanton Iii Md Pc
Marvin Asbury Blanton Iii Md Pc is an health care organization with primary practice located at 1720 East Reelfoot Ave Suite 104, Union City TN 38261-6004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Marvin Asbury Blanton Iii Md Pc can be contacted via phone (731) 885-6662, or through Isbell, Gloria Faye via phone (731) 885-6662.

Contact Information

Primary practice address
1720 East Reelfoot Ave Suite 104 Union City TN 38261-6004
Phone: (731) 885-6662
Fax: (731) 885-6643
Website:
Map and Directions
Authorized official contact:
Name: Isbell, Gloria Faye
Phone: (731) 885-6662

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00005749 Tennessee

Profile Details

NPI number 1457490591
LBN Legal business name Marvin Asbury Blanton Iii Md Pc
DBA Doing business as
Authorized official Isbell, Gloria Faye
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457490591 NPPES
Tennessee MEDICAID 3724967

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