Individual
DR. CRAIG ASHLEY BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 W 8TH NORTH ST STE B, SUMMERVILLE, SC 29483-6656
(843) 471-1135
Mailing address
4993 OHEAR AVE APT 4105, CHARLESTON, SC 29405-4999
(843) 818-8747
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL28156
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
28156
SC
Other
Enumeration date
10/24/2006
Last updated
03/11/2019
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