Individual
CYNTHIA BLIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2784 DONNER AVE, NORTH CHARLESTON, SC 29406-8062
(843) 810-6297
Mailing address
2784 DONNER AVE, NORTH CHARLESTON, SC 29406-8062
(843) 810-6297
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01-0552
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466596
SCRQSA
SC
Enumeration date
12/02/2020
Last updated
12/02/2020
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