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NPI Code Detail

MEDICARE: CHRISTOPHER DONALD BLASY DO

MEDICARE: CHRISTOPHER DONALD BLASY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician056970GA

General Provider Information

NPI Number : 1740283092
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER DONALD BLASY DO
Provider Business Mailing Address
First Line : 109 BEE ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-5703
Country : US
Telephone Number : 843-789-7304
Fax Number : 912-435-6857
Provider Business Practice Location Address
First Line : 109 BEE ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-5703
Country : US
Telephone Number : 843-789-7304
Fax Number : 912-435-6857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/09/2019

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Directions to “ CHRISTOPHER DONALD BLASY DO” Practice Location

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