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Contact Information

CLYDE P BLALOCK, MD
955 RIBAUT RD
BEAUFORT, SC29902-5441
 Phone: 843-522-5130
 Fax: 843-522-5538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CLYDE P BLALOCK · (Male)

NPI Number 1396782488
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2006
Last updated 01/09/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 21036
  • SC Medicaid G24901
Hospital affiliation(s)
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • CANDLER HOSPITAL - (Acute Care)
    5353 REYNOLDS STREET
    SAVANNAH, GA 31412
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
  • HILTON HEAD REGIONAL MEDICAL CENTER - (Acute Care)
    25 HOSPITAL CENTER BLVD
    HILTON HEAD ISLAND, SC 29925
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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