Individual
SCOTT ALLEN BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-3894
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
TL33464
SC
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
33464
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL33464
MEDICAL LICENSE
SC
Enumeration date
05/01/2008
Last updated
11/12/2021
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