Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ISRAEL DENNARD BLAKE
ActiveMR. ISRAEL DENNARD BLAKE is a 374K00000X healthcare provider located in THOMASVILLE, Georgia. NPI 1598500605 is currently active in the NPPES registry. Verify at CMS.
374K00000X · THOMASVILLE, GA
Registration Details
- NPI Number
- 1598500605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2024 (2.1011581251112 yrs)
- Last Updated
- Jun 28, 2024
Practice Information
- Address
-
228 AUGUSTA AVETHOMASVILLE, GA, 317927003Browse GA providers · Browse ZIP 31792
- Phone
- 2292287775
- Primary Specialty
-
374K00000X
374K00000X
- Additional Specialty
- 374K00000X
Other 374K00000X Providers in THOMASVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANDRA BLAKE | BS, MS | 1932944048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.