Individual
BOBBIE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 E GREENVILLE ST STE 4500, ANDERSON, SC 29621-1762
(864) 512-4500
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
86039
SC
Other
Enumeration date
04/09/2021
Last updated
07/21/2025
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