Blevins, John David

Blevins, John David is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Blevins, John David can be contacted via phone (803) 936-7372.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 936-7372
Fax: (803) 936-4102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 058855 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 86721 South Carolina

Profile Details

NPI number 1467423608
LBN Legal business name Blevins, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 19th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467423608 NPPES
Virginia MEDICAID 7108788

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