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1568783777
BLAKE ADAM MARVIN
GOOSE CREEK, SC
NPI
1568783777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX P1103)
Enumeration Date
2010-06-22
Last Update Date
2024-09-09
Business Address
Dr. BLAKE ADAM MARVIN M.D.
NAVAL HEALTH CLINIC CHARLESTON 110 NNPTC CIRCLE
GOOSE CREEK, SC 29445
Phone number: 843-794-6000
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Mailing Address
Dr. BLAKE ADAM MARVIN M.D.
2005 KNIGHT LANE, BUILDING H, ATTN: MEDICAL STAFF SERVI NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Phone number: 760-725-8882
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