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John Blake, PA-C
NPI 1780726570 · on the registry since 2007
Practice
- Address
- 712 Village Rd Sw Ste 104
Shallotte, NC 28470 - Phone
- (910) 754-7607
- Fax
- (910) 754-7608
- Organisation at this address
- Carenet, Inc.
Columbus Family Medical Pa
Columbus Family Medical Pa
In Motion Physical Therapy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-03
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