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1366453458
MARCUS E BLACKSTONE
SIMPSONVILLE, SC
NPI
1366453458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 18747)
Enumeration Date
2006-08-11
Last Update Date
2012-06-19
Business Address
Mr. MARCUS E BLACKSTONE MD
404 SE MAIN ST
SIMPSONVILLE, SC 29681-2652
Phone number: 864-963-8002
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Mailing Address
Mr. MARCUS E BLACKSTONE MD
PO BOX 279 404 SOUTHEAST MAIN ST
SIMPSONVILLE, SC 29681
Phone number: 864-963-8002
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