Blalock, Cynthia A

Blalock, Cynthia A is an individual health care provider with primary practice located at 5037 Ashby Ave , Charleston SC 29405-4235. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Blalock, Cynthia A can be contacted via phone (843) 270-9509.

Contact Information

Primary practice address
5037 Ashby Ave Charleston SC 29405-4235
Phone: (843) 270-9509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21530 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9601561 North Carolina

Profile Details

NPI number 1225094618
LBN Legal business name Blalock, Cynthia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 9th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225094618 NPPES
South Carolina MEDICAID G39291

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