Individual
TONIA ANNETTE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
520 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4108
(843) 355-6012
Mailing address
405 S FIRE STATION RD, JOHNSONVILLE, SC 29555-5230
(843) 992-9144
Taxonomy
Speciality
Code
Description
License number
State
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
43924
SC
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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