Individual
PROF. CLINT BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, PA-C, RPH
Contact information
Practice address
151B RUTLEDGE AVE # MSC962, CHARLESTON, SC 29425-8903
(843) 792-7490
Mailing address
151B RUTLEDGE AVE # MSC962, CHARLESTON, SC 29425-8903
(843) 792-7490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA647
KY
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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