Individual
MS. HEATHER NICOLE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2713 DANTZLER DR, NORTH CHARLESTON, SC 29406-9005
(843) 764-1722
(843) 764-1788
Mailing address
2713 DANTZLER DR, NORTH CHARLESTON, SC 29406-9005
(843) 764-1722
(843) 764-1788
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18086
SC
Other
Enumeration date
12/31/2012
Last updated
06/22/2016
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