Individual
OLIVE L BLAIR-LINEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1530 N LIMESTONE ST, GAFFNEY, SC 29340-4742
(864) 489-3286
(864) 489-6694
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1401
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2660098
GAFFNEY MEDICAL ASSOCIATE
SC
Enumeration date
09/17/2006
Last updated
10/07/2008
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