Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN A BLAKE, PA-C
ActiveJOHN A BLAKE, PA-C is a Physician Assistant healthcare provider located in SHALLOTTE, North Carolina. NPI 1780726570 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHALLOTTE, NC
Registration Details
- NPI Number
- 1780726570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.321245743789 yrs)
- Last Updated
- Jun 3, 2019
- License
-
103290NC (NC)
Practice Information
- Address
-
712 VILLAGE RD SW STE 104SHALLOTTE, NC, 284703449Browse NC providers · Browse ZIP 28470
- Phone
- 9107547607
- Fax
- 9107547608
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SHALLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MISS KELLY COLLIER | PA | 1700886595 |
| MS. DOROTHY TRUAX | P.A. | 1265495071 |
| CHARLES F BAY | PA | 1669404059 |
| ROCKY CAROL QUILLEN | PA | 1518079961 |
| TIFFANY LEWIS SCHEIB | P.A. | 1487960597 |
| KATY FLINN JOHNSON | PA-C | 1043505092 |
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.