Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANNY REESE BLACKWELL, M.D.
Active Sole ProprietorSpecialist · 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 STKERSHAW, SC, 290671216Browse 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.