Suzanne M Blakeley (NPI# 1053716167, PAC ID# 2668796780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053716167 |
| PAC ID by PECOS | 2668796780 |
| Professional Enrollment ID | I20150121000499 |
| Full Name | Suzanne M Blakeley |
| Organization Legal Name | PATRICIA R. GRANT, MD PA |
| Address |
219 Church St Georgetown SC 29440-2403 |
| Phone Number | 8435455927 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698858348 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 219 Church St, Georgetown, SC 29440-2403 | 8435455927 | PATRICIA R. GRANT, MD PA |
| Organization Legal Name | PATRICIA R. GRANT, MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Street Address |
219 CHURCH ST |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Adkisson | Physician Assistant | 219 Church St, Dickson, TN 37055-1303 | |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Julie A Perrigin | Family Practice | Perrigin Medical Pllc | 219 Church St, Dickson, TN 37055-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Monica Lynn Selander-han | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Eduardo Miguel Martinez | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GEORGETOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Suzanne M Blakeley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.