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

Clyde P. Blalock, MD

Individual provider Diagnostic Radiology Physician · NPI 1396782488

Clyde P. Blalock, MD is a Diagnostic Radiology in Beaufort, South Carolina. Graduated from Medical College of Georgia School of Medicine in 1979, 47 years ago. Practices with Beaufort Medical Imaging Inc, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
47
Trained at
Medical College of Georgia School of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone: (843) 522-5130
Fax: (843) 522-5538
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 21036 (SC)

Record details

NPI number1396782488
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJanuary 9, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Beaufort Medical Imaging Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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