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Israel Blake

NPI 1598500605 · on the registry since 2024

Practice

Address
228 Augusta Ave
Thomasville, GA 31792
Phone
(229) 228-7775
Organisation at this address
The Disciples Of Jesus House Of Prayer & Deliverance
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
374K00000X
374K00000X
Also registered as
101YP1600X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-28

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 Georgia