Individual
MR. PAUL DAVID BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO FAAOP
Contact information
Practice address
102 WILLOW LANE, SPARTANBURG, SC 29307-1343
(864) 582-4411
(864) 573-6717
Mailing address
102 WILLOW LANE, SPARTANBURG, SC 29307-1343
(864) 582-4411
(864) 573-6717
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
SC
224P00000X
Prosthetist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701424
—
NC
05
—
DME285
—
SC
Enumeration date
11/13/2006
Last updated
09/11/2025
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