Blalock, Deborah Shogry

Blalock, Deborah Shogry is an individual health care provider with primary practice located at 2090 Executive Hall Rd Ste 170 , Charleston SC 29407-8710. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blalock, Deborah Shogry can be contacted via phone (843) 852-3633.

Contact Information

Primary practice address
2090 Executive Hall Rd Ste 170 Charleston SC 29407-8710
Phone: (843) 852-3633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3225 South Carolina

Profile Details

NPI number 1669526547
LBN Legal business name Blalock, Deborah Shogry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated May 21st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669526547 NPPES
South Carolina MEDICAID 1760596480
South Carolina MEDICAID 190166

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