OrganizationActive
Divine Blending LLC
NPI 1861347981 · Phlebology Physician · Laurens, SC
Provider details
- NPI number
- 1861347981
- Entity type
- Organization
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tiffany Gary, Owner(803) 262-1004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
328 Hillcrest Dr Ste 1
Laurens, SC 29360-2369
Phone: (843) 471-0408
Approximate (ZIP-level) locationGet directions
Mailing address
328 Hillcrest Dr Ste 1
Laurens, SC 29360-2369
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.