Individual
MISS BLAIR KATHERINE ROBILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
TAYLOR AT MARION STREET, COLUMBIA, SC 29220-2105
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
95010273
CA
363L00000X
Nurse Practitioner
NPF95010273
CA
363LF0000X
Family Nurse Practitioner
Primary
26144
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8698
—
SC
Enumeration date
10/31/2018
Last updated
10/05/2022
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