Anne B Blake, NP

NPI #1225089857 in Lugoff, South Carolina

Provider Information

NPI Number
1225089857
Entity Type
Individual
Name
Anne B Blake, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
May 16, 2006
Last Updated
Feb 24, 2012

Practice Location

Address
710 DEWITT DR
City
Lugoff
ZIP Code
29078-9069
Phone
(803) 438-7566

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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