Search › Tennessee › 101YA0400X
Raymond Blackwell, LADAC II
NPI 1710599543 · on the registry since 2020 · sole proprietor
Practice
- Address
- 832 Main St South
Brush Creek, TN 38547 - Phone
- (615) 630-8908
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-10
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