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Blake Family Medicine Pllc
Physician Assistant in Shallotte, North Carolina
NPI 1295959310

Blake Family Medicine Pllc is a Physician Assistant based in Shallotte, NC. Blake Family Medicine Pllc practices in Shallotte, NC. The NPI Number for Blake Family Medicine Pllc is 1295959310 and holds a License No. 10868 (North Carolina).

The current practice location address for Blake Family Medicine Pllc is 4704 Main St, Shallotte, NC and can be reached out via phone at 910-754-4545 and via fax at 910-754-4794.

Location: 4704 Main St, Shallotte, NC, 28459-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295959310
Provider Name
Blake Family Medicine Pllc
Credential
Provider Entity Type
Organization
Address
4704 Main St, Shallotte, NC, 28459-3206
Phone Number
910-754-4545
Fax Number
910-754-4794
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5902868 05 NC
017W4 01 NC BCBS GRP
55210 01 NC BCBS
185616 01 NC MEDCOST
858799 01 NC UHC
institution
Provider Business Practice Location Address Details
Address
4704 Main St
City
Shallotte
State
North Carolina
Zip
28470-1880
Phone Number
910-754-4545
Fax Number
910-754-4794
person
Provider Business Mailing Address Details
Address
4704 Main St
City
Shallotte
State
North Carolina
Zip
28470-1880
Phone Number
910-754-4545
Fax Number
910-754-4794
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
103290 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10868 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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