Blake Alexander Medley
Physician Assistant · Talbott, TN
Practice location
204 Shaver DrTalbott, TN 37877-8552
- Phone
- (423) 581-7040
- Fax
- (423) 581-9563
NPI record
- NPI
- 1043880834
- Entity type
- Individual (Type 1)
- Enumeration date
- June 25, 2021
- Last updated
- June 25, 2021
- Certified
- June 25, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
4617 | TN |
About Blake Medley
Blake Alexander Medley is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 204 Shaver Dr, Talbott, TN 37877-8552. The NPI number 1043880834 was assigned on June 25, 2021 and the record was last updated on June 25, 2021.
Blake Medley lists a license in the registry: #4617 (TN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake Alexander Medley?
The NPI number is 1043880834.
What is the phone number of Blake Medley?
The phone number listed for the practice location is (423) 581-7040.
Where is Blake Medley located?
204 Shaver Dr, Talbott, TN 37877-8552.
What is the taxonomy code for Blake Medley?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Talbott
- Steven Gordon Gunderson, PA-C6890 W Andrew Johnson Hwy