BLAKE KREFTON WILLIS

CHARLESTON, SC
NPI1841553328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  ll 34844)
Enumeration Date2012-06-20
Last Update Date2015-07-01
Business Address
Dr. BLAKE KREFTON WILLIS M.D.
169 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
Dr. BLAKE KREFTON WILLIS M.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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