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Individual

WALKER MCRAE BLANDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425
(843) 792-6296
Mailing address
171 ASHLEY AVE RM 202, CHARLESTON, SC 29425-0100
(843) 792-1414

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
82832LL
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
LL82832
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82832LL
SC LIMITED MEDICAL LICENSE
SC
Enumeration date
06/12/2019
Last updated
01/24/2025
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