Individual
TIMOTHY JOSEPH BLANCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-1900
(864) 833-9458
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21626
NC
207R00000X
Internal Medicine Physician
Primary
35250
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916225
—
NC
Enumeration date
06/22/2005
Last updated
07/01/2013
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