Individual
DR. CYNTHIA A BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5037 ASHBY AVE, CHARLESTON, SC 29405-4235
(843) 270-9509
Mailing address
5037 ASHBY AVE, CHARLESTON, SC 29405-4235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21530
SC
207Q00000X
Family Medicine Physician
Primary
9601561
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G39291
—
SC
Enumeration date
04/25/2006
Last updated
03/09/2022
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