| Doctor Name: | CYNTHIA A BLALOCK |
| NPI Number: | 1225094618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 21530 |
| Business Practice Address: | 1405 Ben Sawyer Blvd Ste 105 Mt Pleasant, SC - 29464 |
| Business Phone Number: | 8438848121 |
| Business Fax Number: | 8438841528 |
| Mailing Address: | 1405 Ben Sawyer Blvd., Ste. 105 MT PLEASANT |
| State: | SC |
| Postal Code: | 29464 |
| Phone Number: | 8438848121 |
| Fax Number: | 8438841528 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 10/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 21530 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |