person
Anne B Blake, NP
Family Nurse Practitioner in Lugoff, South Carolina
NPI 1225089857

Anne B Blake is a Family Nurse Practitioner based in Camden, SC and is specialized in Family. Anne B Blake practices in Lugoff, SC and has the professional credentials of NP. The NPI Number for Anne B Blake is 1225089857 and holds a License No. 1450 (South Carolina).

The current practice location address for Anne B Blake is 710 Dewitt Dr, Lugoff, SC and can be reached out via phone at 803-438-7566 and via fax at 803-438-4371.

Location: 710 Dewitt Dr, Lugoff, SC, 29021-1259
person
Provider Profile Details
NPI Number
1225089857
Provider Name
Anne B Blake
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
710 Dewitt Dr, Lugoff, SC, 29021-1259
Phone Number
803-438-7566
Fax Number
803-438-4371
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500022911 01 SC RAILROAD MEDICARE PIN
B5703 01 MEDCOST PIN
NP0429 05 SC
institution
Provider Business Practice Location Address Details
Address
710 Dewitt Dr
City
State
Zip
29078-9069
Phone Number
803-438-7566
Fax Number
803-438-4371
person
Provider Business Mailing Address Details
Address
710 Dewitt Dr
City
State
Zip
29078-9069
Phone Number
803-438-7566
Fax Number
803-438-4371
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1450 (South Carolina)
Definition
Definition to come...
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