Blake Family Medicine Pllc
NPI #1295959310 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1295959310
- Entity Type
- Organization
- Organization Name
- Blake Family Medicine Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 4704 MAIN ST
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-1880
- Phone
- (910) 754-4545
Authorized Official
- Name
- JOHN A BLAKE, PA
- Title
- OWNER
- Phone
- (910) 754-4545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Family Medicine |
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