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Individual

AMY JEAN BLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
(843) 497-6601
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
061210
GA
207P00000X
Emergency Medicine Physician
Primary
33456
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G61210
SC
Enumeration date
05/01/2008
Last updated
10/25/2021
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