Sally S Blake is a Family in Orangeburg, South Carolina. Sally S Blake practices all healthcare services and medical treatments related to Family. The NPI Number for Sally S Blake is 1750432985. The last update date is 2019-02-11.
Sally S Blake's current location address is 2319 Saint Matthews Rd, Orangeburg, South Carolina. You can contact this provider via phone number 8035361571 and fax number 8035343860. The mailing address for Sally S Blake is 2319 Saint Matthews Rd, Orangeburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally S Blake |
|---|---|
| Address | 2319 Saint Matthews Rd, Orangeburg, South Carolina |
| Phone Number | 8035361571 |
| Fax Number | 8035343860 |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1750432985 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2019-02-11 |
Provider Mailing Address Detail
| Address | 2319 Saint Matthews Rd |
|---|---|
| City | Orangeburg |
| State | South Carolina (SC) |
| Post Code | 291182042 |
| Phone Number | 8035361571 |
| Fax Number | 8035343860 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 710 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 710 | SC | STATE LICENSE # | |
| NP1060 | SC | -- | |
| F710 | SC | PRESCRIPTIVE AUTHORITY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sally S Blake by the Centers for Medicare & Medicaid Services?
The Sally S Blake has been issued the NPI (National Provider Identifier) 1750432985, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sally S Blake is physically located?
The Sally S Blake is physically situated at the following address: 2319 Saint Matthews Rd, Orangeburg, SC, 291182042.
What is Sally S Blake's area of expertise and its corresponding taxonomy classification?
The Sally S Blake's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sally S Blake receive the assignment of its 1750432985 from the Centers for Medicare & Medicaid Services?
The Sally S Blake was issued its 1750432985 by the Centers for Medicare & Medicaid Services on 2007-01-15.
As of what date were the details related to Sally S Blake most recently updated or revised?
The information pertaining to Sally S Blake, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-11.
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