BLAKELY DAVID WISE

CORNELIUS, NC
NPI1396201935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-08866)
Enumeration Date2019-02-19
Last Update Date2023-12-18
Business Address
BLAKELY DAVID WISE PA
20036 ZION AVE STE 100
CORNELIUS, NC 28031-8435
Phone number: 704-801-7400
Mailing Address
BLAKELY DAVID WISE PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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