Individual
DR. WILLIAM MICHAEL BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1220 CHESTERFIELD HWY, CHERAW, SC 29520-7014
(843) 537-4368
(843) 537-4368
Mailing address
1220 CHESTERFIELD HWY, CHERAW, SC 29520-7014
(843) 537-4368
(843) 537-4368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2699
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC2699
BCBS ID NUMBER
SC
05
—
ZZ2699
—
SC
Enumeration date
06/06/2006
Last updated
01/12/2011
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