Blanton, Marvin Asbury

Blanton, Marvin Asbury is an individual health care provider with primary practice located at 1720 Realfoot Ave Ste 104, Union City TN 38261-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blanton, Marvin Asbury can be contacted via phone (731) 885-6662.

Contact Information

Primary practice address
1720 Realfoot Ave Ste 104 Union City TN 38261-6004
Phone: (731) 885-6662
Fax: (731) 885-6643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00005749 Tennessee

Profile Details

NPI number 1477528586
LBN Legal business name Blanton, Marvin Asbury
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477528586 NPPES
Tennessee MEDICAID 3157432

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