BLAKE LEONARD BREAUX

FLORENCE, SC
NPI1427618420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: SC  91929)
Additional Taxonomies208600000X Surgery
(Licence: WA  60950347)
Enumeration Date2019-06-20
Last Update Date2024-07-22
Business Address
BLAKE LEONARD BREAUX MD
800 E CHEVES ST STE 260
FLORENCE, SC 29506-2652
Phone number: 843-665-7941
Mailing Address
BLAKE LEONARD BREAUX MD
800 E CHEVES ST STE 260
FLORENCE, SC 29506-2652
Phone number: 843-665-7941
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