Sally S Blake FNP-C

NPI 1750432985 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1750432985
Gender Female
Enumeration Date 01/15/2007
Last Updated 09/19/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
19340 SOLOMON BLATT AVE N
BLACKVILLE SC, 29817-2304, US
Phone (803) 284-1041
Fax (803) 284-3094
Business Location
333 REVOLUTIONARY TRL
FAIRFAX SC, 29827-7109, US
Phone (803) 632-2533
Fax (803) 632-2451
Toxanomy
Taxonomy Code 363LF0000X
License State South Carolina
License Number 710
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According to our database, Sally S Blake FNP-C NPI is 1750432985, taxonomy code is 363LF0000X and license number is 710, license state is located at South Carolina. Sally S Blake FNP-C physically located at 19340 Solomon Blatt Ave N, Blackville SC, 29817-2304. NPI Number Sally S Blake FNP-C has the Individual type.

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1750432985 NPI number is provided on an as is basis without warranty of any kind. 1750432985 is maintained by the National Plan & Provider Enumeration System. The contents of Sally S Blake FNP-C are for informational purposes only.