Individual
JEANINE ELIZABETH BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
810 ELIZABETH ST, GEORGETOWN, SC 29440-3964
(843) 545-8800
Mailing address
810 ELIZABETH ST, GEORGETOWN, SC 29440-3964
(843) 545-8500
(866) 507-1763
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
7559
SC
Other
Enumeration date
08/22/2023
Last updated
10/09/2023
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