Individual
SARA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S PARSONAGE ST, BENNETTSVILLE, SC 29512-4423
(843) 479-6801
Mailing address
711 S PARSONAGE ST, BENNETTSVILLE, SC 29512-4423
(843) 479-6801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P34876
SC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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