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Organization
PAUL D. BLAKELEY CPO
Active
Organization
PAUL D. BLAKELEY CPO
Active
Other names
Carolina Orthopedic Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D BLAKELEY CPO FAAOP (OWNER)
(864) 582-4411
Entity
Organization
Contact information
Practice address
102 WILLOW LANE, SPARTANABURG, SC 29307
(864) 582-4411
(864) 573-6717
Mailing address
102 WILLOW LANE, SPARTANABURG, SC 29307
(864) 582-4411
(864) 573-6717
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701424
—
NC
05
—
DME285
—
SC
Enumeration date
01/31/2007
Last updated
02/19/2008
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