Individual
MRS. KIM BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 NEW HOPE CHURCH RD, JONESVILLE, SC 29353-2325
(864) 674-5518
(864) 674-1890
Mailing address
350 NEW HOPE CHURCH RD, JONESVILLE, SC 29353-2325
(864) 674-5518
(864) 674-1890
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
55504
SC
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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