Gerald Wayne Blake, M.D.
NPI #1063743979 in Sanford, North Carolina
Provider Information
- NPI Number
- 1063743979
- Entity Type
- Individual
- Name
- Gerald Wayne Blake, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Jan 18, 2010
- Last Updated
- Jan 18, 2010
Practice Location
- Address
- 1139 CARTHAGE ST
- Address 2
- SUITE 110
- City
- Sanford
- State
- North Carolina
- ZIP Code
- 27330-4111
- Phone
- (919) 774-2195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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