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Dr. Paul S Blake, DO
Nephrology Physician in Charlotte, North Carolina
NPI 1871550855

Paul S Blake is a Nephrology Physician based in Charlotte, NC and is specialized in Nephrology. Paul S Blake practices in Charlotte, NC and has the professional credentials of DO. The NPI Number for Paul S Blake is 1871550855 and holds a License No. 97-01697 (North Carolina).

The current practice location address for Paul S Blake is 3033 Eastway Dr Ste 201, Charlotte, NC and can be reached out via phone at 704-731-6451 and via fax at 704-731-6452.

Location: 3033 Eastway Dr Ste 201, Charlotte, NC, 28237-7938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871550855
Provider Name
Paul S Blake
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3033 Eastway Dr Ste 201, Charlotte, NC, 28237-7938
Phone Number
704-731-6451
Fax Number
704-731-6452
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
276911 01 NC MAMSI
N01697 05 SC
891126N 05 NC
1126N 01 NC BCBSNC
17696 01 NC PARTNERS
390006903 01 NC RR MEDICARE
561550231M 01 NC CIGNA
institution
Provider Business Practice Location Address Details
Address
3033 Eastway Dr Ste 201
City
Charlotte
State
North Carolina
Zip
28205-6387
Phone Number
704-731-6451
Fax Number
704-731-6452
person
Provider Business Mailing Address Details
Address
3033 Eastway Dr Ste 201
City
Charlotte
State
North Carolina
Zip
28205-6387
Phone Number
704-731-6451
Fax Number
704-731-6452
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
97-01697 (North Carolina)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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