Bellamy, Ethel Blake

Bellamy, Ethel Blake is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526-8903. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bellamy, Ethel Blake can be contacted via phone (843) 347-5060.

Contact Information

Primary practice address
164 Waccamaw Medical Park Dr Conway SC 29526-8903
Phone: (843) 347-5060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1022 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 1175 South Carolina

Profile Details

NPI number 1891074290
LBN Legal business name Bellamy, Ethel Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Aug 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers