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Individual

MICHELLE LYN BLAKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
100 PALMETTO HEALTH PKWY, SUITE 220, COLUMBIA, SC 29212-1753
(803) 907-7700
(803) 907-7709
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18126
SC

Other

Enumeration date
02/14/2013
Last updated
03/16/2018
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