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Brandon Adam Block, DO Valid NPI

Individual provider · Family Medicine Physician · Ethridge, TN

NPI
1457092314
Type
Individual (Type 1)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
6897 (TN)
Sex
Male
Sole proprietor
No
Enumerated
2022-04-05
Last updated
2026-06-01
Practice location
3316 Highway 43 N Ste 310
Ethridge, TN 38456-2136
(931) 999-2663

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