Individual
SUMMER BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
93 HUMAN SERVICES RD, CLINTON, SC 29325-7546
(864) 833-0100
Mailing address
3106 BETHEL RD UNIT 104, SIMPSONVILLE, SC 29681-5616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218241
SC
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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