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Paul D. Blakeley Cpo
Customized Equipment (DME) in Spartanaburg, South Carolina
NPI 1881731495

Paul D. Blakeley Cpo is a Customized Equipment (DME) based in Spartanaburg, SC and is specialized in Customized Equipment. Paul D. Blakeley Cpo practices in Spartanaburg, SC. The NPI Number for Paul D. Blakeley Cpo is 1881731495 and holds a License No. (South Carolina).

The current practice location address for Paul D. Blakeley Cpo is 102 Willow Lane, Spartanaburg, SC and can be reached out via phone at 864-582-4411 and via fax at 864-573-6717.

Location: 102 Willow Lane, Spartanaburg, SC, 29307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881731495
Provider Name
Paul D. Blakeley Cpo
Credential
Provider Entity Type
Organization
Address
102 Willow Lane, Spartanaburg, SC, 29307
Phone Number
864-582-4411
Fax Number
864-573-6717
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7701424 05 NC
DME285 05 SC
institution
Provider Business Practice Location Address Details
Address
102 Willow Lane
City
Spartanaburg
State
South Carolina
Zip
29307
Phone Number
864-582-4411
Fax Number
864-573-6717
person
Provider Business Mailing Address Details
Address
102 Willow Lane
City
Spartanaburg
State
South Carolina
Zip
29307
Phone Number
864-582-4411
Fax Number
864-573-6717
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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