Individual
DR. BILLY R BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
907 SANTEE DR, FLORENCE, SC 29501-5737
(843) 669-0423
Mailing address
907 SANTEE DR, FLORENCE, SC 29501-5737
(843) 669-0423
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4914
SC
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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