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Individual

ANDREW WILTON BLOCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6862
(803) 434-8323
(803) 434-8326
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013438
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
22068
SC
363LA2100X
Acute Care Nurse Practitioner
APRN11021099
FL
363LF0000X
Family Nurse Practitioner
5013438
NC

Other

Enumeration date
06/20/2017
Last updated
11/13/2024
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