NPI 1164650123 · live from the CMS NPI Registry
Jill Marie Blandford, D.O.
Psychiatry & Neurology, Neurology in Charleston, SC. National Provider Identifier 1164650123, active.
NPI record
| NPI | 1164650123 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2095 Henry Tecklenburg Dr, Charleston, SC 29414 |
| Practice phone | 843-402-5035 |
| Mailing address | Po Box 751649, Charlotte, NC 28275 |
| Enumerated | June 29, 2009 |
| Last updated | July 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 03684 (KY) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 03684 (KY) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1270 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.