JOHN A BLAKE

SHALLOTTE, NC
NPI1780726570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103290NC)
Enumeration Date2007-02-12
Last Update Date2019-06-03
Business Address
JOHN A BLAKE PA-C
712 VILLAGE RD SW STE 104
SHALLOTTE, NC 28470-3449
Phone number: 910-754-7607
Mailing Address
JOHN A BLAKE PA-C
712 VILLAGE RD SW STE 104
SHALLOTTE, NC 28470-3449
Phone number: 910-754-7607
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