Individual
DR. BRIAN DAVID BLAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WILLIAM H JOHNSON ST STE 600, FLORENCE, SC 29506-2773
(843) 667-1891
(843) 665-2516
Mailing address
101 WILLIAM H JOHNSON ST STE 600, FLORENCE, SC 29506-2773
(843) 667-1891
(843) 665-2516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380858
—
SC
Enumeration date
03/24/2012
Last updated
02/01/2021
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