Individual
MARY CROUSE BLUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, 5TH FLOOR SUPPORT TOWER, GREENVILLE, SC 29605
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38399
SC
208M00000X
Hospitalist Physician
Primary
38399
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383999
—
SC
Enumeration date
06/11/2015
Last updated
05/19/2021
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