Individual
DR. DALE BLIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 WEST 2ND STREET, SWANSEA, SC 29160
(803) 568-2000
(803) 568-4190
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 568-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20901
SC
Other
Enumeration date
07/20/2006
Last updated
06/22/2017
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