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Blake Newsom
NPI 1366270704 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1211 Bell Rd Apt 65
Antioch, TN 37013 - Phone
- (931) 575-8200
- Organisation at this address
- Golden Cross Logistics, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-25
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