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1740676543
BLAKE BISHOP GOODBAR
CHARLOTTE, NC
NPI
1740676543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 2018-01959)
Enumeration Date
2015-04-08
Last Update Date
2024-07-15
Business Address
BLAKE BISHOP GOODBAR MD
3030 RANDOLPH RD STE 200
CHARLOTTE, NC 28211-1368
Phone number: 704-512-5000
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Mailing Address
BLAKE BISHOP GOODBAR MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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