Individual
DR. MARK G BLASKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-7506
(803) 771-9455
Mailing address
1706 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-7506
(803) 771-9455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17720
SC
Other
Enumeration date
03/23/2006
Last updated
10/09/2007
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