SearchTennessee225100000X

Connor Blanton

NPI 1285418715 · on the registry since 2023

Practice

Address
1043 Jack Vest Drive
Johnson City, TN 37614
Phone
(423) 439-5264
Clinicians at this address
10

Additional practice sites

  • 102 E Ravine Rd, Kingsport, TN

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-16

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