Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William Tate Blalock, PA-C

Individual provider Physician Assistant · NPI 1134148638

William Tate Blalock, PA-C is a Physician Assistant in Mountain Home, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Dogwood Ave Quillen Veterans Affairs Medical Center -Bldg 204
Mountain Home, TN 37684-4000
Phone: (423) 979-3497
Fax: (423) 979-2894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 409 (TN)

Record details

NPI number1134148638
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 28, 2014

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