MR. John Stephen Blackburn, CRNA
NPI #1164490801 in Irmo, South Carolina
Provider Information
- NPI Number
- 1164490801
- Entity Type
- Individual
- Name
- MR. John Stephen Blackburn, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7210G BROAD RIVER RD
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-7972
- Phone
- (803) 407-5266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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