Blalock, Cynthia A
Blalock, Cynthia A is an individual health care provider with primary practice located at 5037 Ashby Ave , Charleston SC 29405-4235. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Blalock, Cynthia A can be contacted via phone (843) 270-9509.Contact Information
Primary practice address
5037 Ashby Ave
Charleston SC 29405-4235
Phone: (843) 270-9509
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 21530 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9601561 | North Carolina |
Profile Details
NPI number | 1225094618 |
---|---|
LBN Legal business name | Blalock, Cynthia A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Mar 9th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225094618 | NPPES |
South Carolina | MEDICAID | G39291 |
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