Search › North Carolina › 363AM0700X
Randal Blake, PA-C, MPAS
NPI 1598479370 · on the registry since 2023
Practice
- Address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- Clinicians at this address
- 812
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Sex
- Male
- Record last updated
- 2025-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina