Healthcare Provider Details

I. General information

NPI: 1043574486
Provider Name (Legal Business Name): STACY BLECHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 EWALL STREET SUITE 166
MOUNT PLEASANT SC
29464
US

IV. Provider business mailing address

1466 TOMATO FARM CIRCLE
MOUNT PLEASANT SC
29464
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-3329
  • Fax: 843-944-6018
Mailing address:
  • Phone: 843-792-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39992
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number202425
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number39992
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: