NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

SALLY S BLAKE, FNP-C – NPI #1750432985
Family


Contact Information

SALLY S BLAKE, FNP-C
22 GARDNER ROAD
BLACKVILLE MEDICAL CENTER
BLACKVILLE, SC29817
 Phone: 803-284-2041
 Fax: 803-284-5516
 Website:
 

Specialty

Taxonomy

Family

363LF0000X
Indicates primary specialty
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NPI Information

NPI Number 1750432985
Credentials FNP-C
Entity Individual
Enumeration date 01/15/2007
Last updated 03/14/2011
Sole proprietor No
Identifiers
SC License # 710
SC Other F710 PRESCRIPTIVE AUTHORITY
SC Other 710 STATE LICENSE #

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