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Individual

EMILY BLAKE SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-7700
Mailing address
210 BRUSHY MEADOWS DR, GREER, SC 29650-1020
(864) 640-2276

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.3714PA
SC

Other

Enumeration date
02/07/2021
Last updated
02/07/2021
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