Individual provider · Type 1 NPI

Jill Marie Blandford, DO

Neurology Physician · Charleston, SC

NPI number 1164650123 Active

Practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Fax (843) 402-5036

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X03684 (KY)
Neurology Physician 2084N0400X03684 (KY)
Neurology Physician Primary 2084N0400X1270 (SC)

Neurology Physician: 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.

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About NPI 1164650123

Jill Marie Blandford, DO's National Provider Identifier is 1164650123, issued on Jun 29, 2009. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Charleston, SC. The record was last updated on Jul 11, 2022.