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1689907784
BILLY R BLACKWELL
FLORENCE, SC
NPI
1689907784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: SC 4914)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
Dr. BILLY R BLACKWELL M. D.
907 SANTEE DR
FLORENCE, SC 29501-5737
Phone number: 843-669-0423
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Mailing Address
Dr. BILLY R BLACKWELL M. D.
907 SANTEE DR
FLORENCE, SC 29501-5737
Phone number: 843-669-0423
Copy
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