Individual
DR. MADONNA MORGAN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2801 DEVINE ST STE 101, COLUMBIA, SC 29205-2511
(843) 766-7103
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3890
SC
237600000X
Audiologist-Hearing Aid Fitter
A-0377
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5192
UNSPECIFIED
SC
Enumeration date
05/19/2006
Last updated
03/20/2024
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