DR. D.O. Jill Marie Blandford, NPI 1164650123
Neurology Physician in Charleston, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1164650123
NPI Entity Type Individual
Provider Name DR. D.O. Jill Marie Blandford
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2095 Henry Tecklenburg Dr, Charleston, SC, US
Provider Mailing Address Po Box 751649, Charlotte, NC, US, 282751649
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2084N0400X

Taxonomy Name Neurology Physician
Classification

Psychiatry & Neurology

Group

Allopathic & Osteopathic Physicians

License No. 1270
License State SC
Description A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

DR. D.O. Jill Marie Blandford
2095 Henry Tecklenburg Dr

Charleston, SC, US

Phone: 843-402-5035
Fax: 843-402-5036

Mailing Address

DR. D.O. Jill Marie Blandford
Po Box 751649
Charlotte, NC, US
ZIP 282751649
Phone: 843-789-1620
Fax: 843-724-2440

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

03684 KY No

2084N0400X

Allopathic & Osteopathic Physicians

Psychiatry & Neurology

03684 KY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
170948 KY SIHO - NNS 01
201392140 IN MEDICAID 05
000001036470 KY ANTHEM - NNS 01
50114236 KY PASSPORT - NNS 01
7100321110 KY MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 3991 Dutchmans Lane, Suite 310, Louisville, KY, US
FHIR https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ No 3991 Dutchmans Lane, Suite 310, Louisville, KY, US

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Mental Health Counselor

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