Dr Mark G Blaskis, MD | |
1706 Saint Julian Pl, Columbia, SC 29204-2410 | |
(803) 771-7506 | |
(803) 771-9455 |
Full Name | Dr Mark G Blaskis |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1706 Saint Julian Pl, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841259124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 17720 (South Carolina) | Primary |
Entity Name | Carolina Dermatology Grp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083693857 PECOS PAC ID: 3274557384 Enrollment ID: O20060117000247 |
Mailing Address | Practice Location Address |
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Dr Mark G Blaskis, MD 1706 Saint Julian Pl, Columbia, SC 29204-2410 Ph: (803) 771-7506 | Dr Mark G Blaskis, MD 1706 Saint Julian Pl, Columbia, SC 29204-2410 Ph: (803) 771-7506 |
Allison L Cashman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 400, Columbia, SC 29204 Phone: 803-779-7316 Fax: 803-343-2538 | |
Dr. Edward Shmunes, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3701 Northshore Rd, Columbia, SC 29206 Phone: 803-787-6314 | |
Dr. John Andrew Mouzakis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 400, Columbia, SC 29204 Phone: 803-779-7316 Fax: 803-343-2538 | |
Dr. Ann Harriott Fisher Ervin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1706 St. Julians Place, Columbia, SC 29204 Phone: 803-771-7506 Fax: 803-771-9455 | |
Patricia A Mcclerklin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 112 Doctors Cir, Columbia, SC 29203 Phone: 803-771-9163 Fax: 803-771-7383 | |
Dr. Jing W Zhang, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1706 Saint Julian Pl, Columbia, SC 29204 Phone: 803-771-7506 Fax: 803-771-9455 | |
Dr. Charles Davis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 |