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1164007381
SAMANTHA MARIE BLACKWELL
SPARTANBURG, SC
NPI
1164007381
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Former Name
SAMANTHA BOLT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 24729)
Enumeration Date
2021-03-10
Last Update Date
2024-03-11
Business Address
Mrs. SAMANTHA MARIE BLACKWELL NP
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303-2248
Phone number: 864-583-8647
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Mailing Address
Mrs. SAMANTHA MARIE BLACKWELL NP
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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