MR. Marcus E Blackstone, MD

NPI #1366453458 in Simpsonville, South Carolina

Provider Information

NPI Number: 1366453458
Entity Type: Individual
Name: MR. Marcus E Blackstone, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 11, 2006
Last Updated: Jun 19, 2012

Practice Location

Address: 404 SE MAIN ST
City: Simpsonville
State: South Carolina
ZIP Code: 29681-2652
Phone: (864) 963-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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