Individual
MRS. REBECCA LEA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 STUART ST, COLUMBIA, SC 29207-5700
(803) 751-6549
Mailing address
1 GRANBURY CT, COLUMBIA, SC 29229
(803) 233-1785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2347P
KY
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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