Individual provider · Type 1 NPI

Chandler Elizabeth Blackburn

Surgical Physician Assistant · Rock Hill, SC

NPI number 1275476202 Active

Practice location

222 Herlong Ave S
Rock Hill, SC 29732-1158

Mailing address

7900 Stevens Mill Rd Ste D
Matthews, NC 28104-3006

Other practice locations

  • PO Box 20802, Belfast, ME 04915-4105 · (888) 402-7256

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6471 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1275476202

Chandler Elizabeth Blackburn's National Provider Identifier is 1275476202, issued on Apr 13, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rock Hill, SC. The record was last updated on Aug 10, 2026.