Individual
JOY BETH BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PALMETTO HEALTH BAPTIST, TAYLOR AT MARION STREETS, COLUMBIA, SC 29201
(803) 296-2548
(803) 296-2548
Mailing address
293 GREYSTONE BLVD, FIRST FLOOR, COLUMBIA, SC 29210
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1482
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
R87014
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1201
—
SC
Enumeration date
03/07/2006
Last updated
02/04/2008
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