BLAKE FAMILY MEDICINE PLLC

Family Medicine

Active Organization
NPI: 1295959310

Practice Address

4704 MAIN ST
Shallotte, NC 28470

Phone: (910) 754-4545

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No 103296 (NC)
Family Medicine 207Q00000X Yes 10868 (NC)

Frequently Asked Questions

NPI 1295959310 is the National Provider Identifier for BLAKE FAMILY MEDICINE PLLC, a Family Medicine provider located in Shallotte, NC. This NPI was enumerated on April 12, 2007.

Quick Facts

NPI
1295959310
Type
Organization
Enumerated
Apr 12, 2007
Last Updated
Sep 11, 2025

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