License holder summary

BLALOCK, WILLIAM TATE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BLALOCK, WILLIAM TATE is 308 ROSEWOOD CIRCLE, KINGSPORT 37664. This doctor license is not current. The license was granted 12/13/1978 and expired on 12/31/1994.

Georgia

Composite Medical Board

BLALOCK, WILLIAM TATE
Medical - Physician Assistant
License number
000345
Date granted
12/13/1978
Date expires
12/31/1994
Class
Medical - Physician Assistant
Status
Lapsed
Address
308 ROSEWOOD CIRCLE
georgiadoctors.net
ID 38096643
LAST UPDATED 2024-02-25 18:31:39 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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