Blackwell, Terri Lynn

Blackwell, Terri Lynn is an individual health care provider with primary practice located at 851 Leonard Fulghum Dr Ste 101 , Mount Pleasant SC 29464-3793. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blackwell, Terri Lynn can be contacted via phone (843) 971-9350.

Contact Information

Primary practice address
851 Leonard Fulghum Dr Ste 101 Mount Pleasant SC 29464-3793
Phone: (843) 971-9350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TL 1833 South Carolina

Profile Details

NPI number 1821340654
LBN Legal business name Blackwell, Terri Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2012
Last updated Jun 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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