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

BLAKE EDWARD HAIRSTON

Active Sole Proprietor

Case Manager · MARTINSVILLE, VA

Registration Details

NPI Number
1902158280
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2012 (13.538728803473 yrs)
Last Updated
Oct 10, 2012
Sole Proprietor
Yes

Practice Information

Address
590 NORTHFORK RD
MARTINSVILLE, VA, 241121353
Browse VA providers · Browse ZIP 24112
Phone
2767346140
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in MARTINSVILLE, VA

Name Credential NPI
MERINDA HAIRSTON EASLEY 1245514132
SHARMAIN THORNTON 1841686532
CANDACE THOMAS 1982147112
TRACEY SCOTT HARRIS 1992249700
MISS LOU ANN ADAMS 1861938029
MRS. LISA LYNN KIDD HEALTHCARE PROVIDER 1265084594
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.