Individual
ANDREA BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1131 SALUDA ST, ROCK HILL, SC 29730-5776
(803) 325-7744
(803) 325-1117
Mailing address
1614 WILLIAMS RD, FORT MILL, SC 29715-7037
(704) 579-9046
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
23340
SC
Other
Enumeration date
10/18/2019
Last updated
05/01/2020
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