Individual
HEATHER THOMAS BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1315 OLD CONVERSE RD, SPARTANBURG, SC 29307-3205
(864) 279-6104
(864) 279-6173
Mailing address
1315 OLD CONVERSE RD, SPARTANBURG, SC 29307-3205
(864) 279-6104
(864) 279-6173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29302P
SC
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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