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NPI Profile for BRANDI BLACKMON in CAMDEN, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1588515183 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 02/09/2026 | |
| Last updated | 02/11/2026 - About 4 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BRANDI BLACKMON
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BRANDI BLACKMON, PA-C