Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allysen Taylor Blaker

Individual provider Emergency Medicine Physician · NPI 1700728912

Allysen Taylor Blaker is an Emergency Medicine Physician in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

14 Medical Park Dr
Columbia, SC 29203
Phone: (803) 434-3790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence LL96859 (SC)

Record details

NPI number1700728912
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2026
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026
Mailing address14 Medical Park Drive, Columbia, SC 29203

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