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Contact Information

ELISABETH BLACKWELL
2431 US-501
CONWAY, SC29526
 Phone: 843-575-8768
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ELISABETH BLACKWELL · (Female)

NPI # 1831985258
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2025
Last updated 04/15/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 8830
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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