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Individual

CHRISTIN BAILEY BLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
(864) 560-4023
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27536
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN3944
SC
01
Q818393365
MEDICARE PIN
SC
01
Q8183939225
MEDICARE PIN
SC
Enumeration date
03/13/2023
Last updated
04/30/2026
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