BLAKE BISHOP GOODBAR

CHARLOTTE, NC
NPI1740676543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  2018-01959)
Enumeration Date2015-04-08
Last Update Date2024-07-15
Business Address
BLAKE BISHOP GOODBAR MD
3030 RANDOLPH RD STE 200
CHARLOTTE, NC 28211-1368
Phone number: 704-512-5000
Mailing Address
BLAKE BISHOP GOODBAR MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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