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JOHN BLAKE, PA-C
PA-C
Physician Assistant
NPI: 1780726570IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
103290NC(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 712 VILLAGE RD SW STE 104
SHALLOTTE, NC 28470 - Phone
- (910) 754-7607
Quick Facts
- NPI
- 1780726570
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 25
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