Dr Theron Blickenstaff, MD - Preventive Medicine in Kingsport, TN

Dr Theron Blickenstaff, MD is a Preventive Medicine - Occupational Medicine physician based in Kingsport, Tennessee. Dr Theron Blickenstaff is licensed to practice in Tennessee (license number 14559) and his current practice location is 709 Clandon Dr, Kingsport, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 378-3267.

NPI number for Dr Theron Blickenstaff is 1467640375 and his current mailing address is 709 Clandon Dr, Kingsport, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467640375.

Contact Information

Dr Theron Blickenstaff, MD
709 Clandon Dr,
Kingsport, TN 37660-5036
(423) 378-3267
Not Available



Physician's Profile

Full NameDr Theron Blickenstaff
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location709 Clandon Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467640375
  • Provider Enumeration Date: 10/05/2007
  • Last Update Date: 10/05/2007

Medical Identifiers

Medical identifiers for Dr Theron Blickenstaff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467640375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 14559 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theron Blickenstaff is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theron Blickenstaff, MD
709 Clandon Dr,
Kingsport, TN 37660-5036

Ph: (423) 378-3267
Dr Theron Blickenstaff, MD
709 Clandon Dr,
Kingsport, TN 37660-5036

Ph: (423) 378-3267

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Preventive Medicine Doctors in Kingsport, TN

Dr. Ibrahim Heiba, MD, MPH
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Wilcox Dr, Bldg 215, Kingsport, TN 37662
Phone: 423-229-5448    Fax: 423-229-1684

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