DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANNY REESE BLACKWELL, M.D.

Active Sole Proprietor

Specialist · KERSHAW, SC

Registration Details

NPI Number
1417190885
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2009 (17.01944616536 yrs)
Last Updated
Apr 14, 2009
License
4147 (SC)
Sole Proprietor
Yes

Practice Information

Address
116 N MATSON ST
KERSHAW, SC, 290671216
Browse SC providers · Browse ZIP 29067
Phone
8034756835
Fax
8034755715
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.