Organization
MARTIAL ART ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREW LEROY BLOCKER (DIRECTOR)
(803) 642-5723
Entity
Organization
Contact information
Practice address
1302 WHISKEY RD, AIKEN, SC 29803-5308
(803) 642-5723
(803) 642-1158
Mailing address
1302 WHISKEY RD, AIKEN, SC 29803-5308
(803) 642-5723
(803) 642-1158
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC0061
—
SC
Enumeration date
03/07/2006
Last updated
08/22/2020
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