Organization Name: | METRO SURGICAL PC |
NPI Number: | 1033481551 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK EDWARD BLANKENSHIP (DOCTOR) |
Mailing Address: | 594 S Columbia Ave Suite 100 Rincon |
State: | GA US |
Postal Code: | 313269094 |
Phone Number: | 9128264057 |
Fax Number: | 9128262853 |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD26551 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |