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BLAKE FAMILY MEDICINE PLLC

Family Medicine Physician

NPI: 1295959310Organization

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

103290(NC)103296(NC)
Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

10868(NC)

Contact & Hours

Address
4704 MAIN ST
SHALLOTTE, NC 28470

Quick Facts

NPI
1295959310
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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