person
Clyde P. Blalock, MD
Diagnostic Radiology Physician in Beaufort, South Carolina
NPI 1396782488

Clyde P. Blalock is a Diagnostic Radiology Physician based in Greenwood, SC and is specialized in Diagnostic Radiology. Clyde P. Blalock practices in Beaufort, SC and has the professional credentials of MD. The NPI Number for Clyde P. Blalock is 1396782488 and holds a License No. 21036 (South Carolina).

The current practice location address for Clyde P. Blalock is 955 Ribaut Rd, Beaufort, SC and can be reached out via phone at 843-522-5130 and via fax at 843-522-5538. You can also correspond with Clyde P. Blalock through the mailing address at PO BOX 49009, GREENWOOD, SC - 29649-0001 (mailing address contact number: 864-223-3070).

Location: 955 Ribaut Rd, Beaufort, SC, 29649-0001
person
Provider Profile Details
NPI Number
1396782488
Provider Name
Clyde P. Blalock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
955 Ribaut Rd, Beaufort, SC, 29649-0001
Phone Number
843-522-5130
Fax Number
843-522-5538
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G24901 05 SC
institution
Provider Business Practice Location Address Details
Address
955 Ribaut Rd
City
State
Zip
29902-5441
Phone Number
843-522-5130
Fax Number
843-522-5538
person
Provider Business Mailing Address Details
Address
Po Box 49009
City
State
Zip
29649-0001
Phone Number
864-223-3070
Fax Number
864-223-1396
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
21036 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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