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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAKE BISHOP GOODBAR, MD

Active

BLAKE BISHOP GOODBAR, MD is a Internal Medicine healthcare provider located in CHARLOTTE, North Carolina. NPI 1740676543 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CHARLOTTE, NC

Registration Details

NPI Number
1740676543
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2015 (11.164742398584 yrs)
Last Updated
Jul 15, 2024
License
2018-01959 (NC)

Practice Information

Address
3030 RANDOLPH RD
STE 200
CHARLOTTE, NC, 282111368
Browse NC providers · Browse ZIP 28211
Phone
7045125000
Primary Specialty
Internal Medicine
207R00000X

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SHOAIB SULTAN LATEEF MD 1740282946
ZUZANA RAJECKA BANAS MD 1962407650
CARMELLA LOUISE GISMONDI-EAGAN MD 1942205521
MICHELLE SCULLOCK MD 1942206131
ANIMITA CHAUDHURI SAHA MD 1871590208
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.