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1821340654
TERRI LYNN BLACKWELL
MOUNT PLEASANT, SC
NPI
1821340654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC TL 1833)
Enumeration Date
2012-10-03
Last Update Date
2019-06-12
Business Address
TERRI LYNN BLACKWELL PA-C
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464-3793
Phone number: 843-971-9350
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Mailing Address
TERRI LYNN BLACKWELL PA-C
1300 HOSPITAL DR STE 150
MOUNT PLEASANT, SC 29464-3243
Phone number: 843-971-9350
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