Individual
LAURA R BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 HOLLY ST, ORANGEBURG, SC 29115-4930
(803) 536-2725
(803) 534-3118
Mailing address
940 HOLLY ST, ORANGEBURG, SC 29115-4930
(803) 536-2725
(803) 534-3118
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22250
SC
Other
Enumeration date
09/25/2018
Last updated
03/17/2020
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