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Contact Information

THOMAS H BLACKWELL, MD
300 SCUFFLETOWN RD
SIMPSONVILLE, SC29681-7204
 Phone: 864-329-0029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for THOMAS H BLACKWELL · (Male)

NPI # 1770508020
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 03/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 35587
  • SC License # 34991
  • NC Medicaid 8916021
  • SC Medicaid N35587
  • NC Other 16021 NCBCBS
Hospital affiliation(s) Not Available
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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