Connie J Blackstone, MD

NPI #1497766588 in Simpsonville, South Carolina

Provider Information

NPI Number: 1497766588
Entity Type: Individual
Name: Connie J Blackstone, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 11, 2006
Last Updated: Feb 19, 2015

Practice Location

Address: 404 SE MAIN STREET
Address 2: SUITE 300
City: Simpsonville
State: South Carolina
ZIP Code: 29681-0279
Phone: (864) 963-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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