NPI 1932493715 · live from the CMS NPI Registry
Mary Paugh Blackmon, M.D.
Psychiatry & Neurology, Psychiatry in Charleston, SC. National Provider Identifier 1932493715, active.
NPI record
| NPI | 1932493715 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 169 Ashley Ave Rm 202, Charleston, SC 29425 |
| Practice phone | 843-792-2300 |
| Mailing address | 1822 Sally Hill Farms Blvd, Florence, SC 29501 |
| Enumerated | June 8, 2011 |
| Last updated | June 24, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | LL 33601 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.