Dr EDWIN BLITCH is a male medical professional, specializing in Podiatry. He graduated in 1992 from Barry University School Podiatric Medicine.
COASTAL CAROLINA PODIATRY INC
4340 LADSON RD
SUITE C
LADSON
SC
294566444
Tel: 8438519069
| Npi | 1376518795 |
| Pac Id | 0345351318 |
| Professional Enrollment Id | I20111230000104 |
| Last Name | BLITCH |
| First Name | EDWIN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | COASTAL CAROLINA PODIATRY INC |
| Group Practice Pac Id | 7214932201 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 4340 LADSON RD |
| Line 2 Street Address | SUITE C |
| Marker Of Address Line 2 Suppression | |
| City | LADSON |
| State | SC |
| Zip Code | 294566444 |
| Phone Number | 8438519069 |
| Hospital Affiliation Ccn 1 | 420079 |
| Hospital Affiliation Lbn 1 | TRIDENT MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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