Individual
DR. EDWARD RILEY BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 SEA ISLAND PKWY, BEAUFORT, SC 29907-4400
(843) 682-7480
Mailing address
PO BOX 125, SAINT HELENA ISLAND, SC 29920-0125
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173314
—
SC
01
—
G662416305
MEDICARE PTAN
SC
Enumeration date
11/08/2006
Last updated
09/15/2025
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