GERALD WAYNE BLAKE

SANFORD, NC
NPI1063743979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  15438)
Enumeration Date2010-01-18
Last Update Date2010-01-18
Business Address
-- GERALD WAYNE BLAKE M.D.
1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330-4111
Phone number: 919-774-2195
Mailing Address
-- GERALD WAYNE BLAKE M.D.
1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330-4111
Phone number: 919-774-2195
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