Blestel, George Ambrose

Blestel, George Ambrose is an individual health care provider with primary practice located at 1690 Skylyn Dr Suite 140, Spartanburg SC 29307-1022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Blestel, George Ambrose can be contacted via phone (864) 591-1664.

Contact Information

Primary practice address
1690 Skylyn Dr Suite 140 Spartanburg SC 29307-1022
Phone: (864) 591-1664
Fax: (864) 577-0620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 12790 South Carolina

Profile Details

NPI number 1396798716
LBN Legal business name Blestel, George Ambrose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 2nd, 2018 - about 7 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 1396798716 NPPES
South Carolina MEDICAID 127909
South Carolina Other P00682386

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