Individual
DR. ALRIC CHRISTOPHER BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203-6831
(803) 434-3800
(803) 434-1581
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17330
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173305
—
SC
01
—
180026568
RAILROAD MEDICARE
SC
05
—
GP1498
—
SC
Enumeration date
01/19/2006
Last updated
11/01/2018
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