Search › Tennessee › 208D00000X
Victor Blackett, MD
NPI 1063701100 · on the registry since 2011
Practice
- Address
- 677 Granwood Blvd
Old Hickory, TN 37138 - Phone
- (615) 336-2242
Additional practice sites
- 294 Summar Dr, Jackson, TN
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 390200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee