MARISSA BLANCO KNOWLTON

CHARLESTON, SC
NPI1932442894
Other NameMARISSA BLANCO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: SC  51601)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-03-29
Last Update Date2018-08-28
Business Address
MARISSA BLANCO KNOWLTON M.D.
171 ASHLEY AVE
CHARLESTON, SC 29425
Phone number: 843-792-1414
Mailing Address
MARISSA BLANCO KNOWLTON M.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200