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Organization
SC DHEC
Active
Organization
SC DHEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA S BLACKWELL RN (PUBLIC HEALTH NURSE)
(803) 320-3330
Entity
Organization
Contact information
Practice address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
(803) 909-7300
Mailing address
715 PONDSIDE CT, YORK, SC 29745-7682
(803) 324-5554
(803) 324-5554
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
53617
SC
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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