Blane Clinical LLC
Clinic/Center, Multi-Specialty in Dover, TN. Organization (NPI-2).
NPI number1730906348
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1730906348
- Entity type
- Organization (NPI-2)
- Legal business name
- Blane Clinical LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2024
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Practice location
1307 Donelson PkwyDover, TN 37058-3724
Phone 931-232-0123 · Fax 931-232-1185
Mailing address
1307 Donelson PkwyDover, TN 37058-3724
Phone 931-232-0123 · Fax 931-232-1185
Authorized official
Marlin Blane
Ao
3128201126
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