JOHN BLAKE, PA-C

Physician Assistant

Active Individual
NPI: 1780726570

Practice Address

712 VILLAGE RD SW STE 104
Shallotte, NC 28470

Phone: (910) 754-7607

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 103290NC (NC)

Frequently Asked Questions

NPI 1780726570 is the National Provider Identifier for JOHN BLAKE, PA-C, a Physician Assistant provider located in Shallotte, NC. This NPI was enumerated on February 12, 2007.
JOHN BLAKE, PA-C practices at 712 VILLAGE RD SW STE 104, Shallotte, NC 28470.

Quick Facts

NPI
1780726570
Type
Individual
Enumerated
Feb 12, 2007
Last Updated
Jun 3, 2019

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