Search › South Carolina › 111N00000X
Thomas Blake, DC
NPI 1952493991 · on the registry since 2006
Practice
- Address
- 4715 Sunset Blvd Ste C
Lexington, SC 29072 - Phone
- (803) 520-8631
- Fax
- (803) 520-8634
- Organisation at this address
- Life Wellness Llc
Palmetto Vein & Aesthetic Center PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- SC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-19
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 South Carolina