SIDNEY ALLEN BLAKE

FHPG LLC

Dr SIDNEY ALLEN BLAKE is a male medical professional, specializing in Hospitalist. He graduated in 1991.

Contact

FHPG LLC

520 ALLEN ST
TROY
NC
273712802

Tel: 9105715000

SIDNEY ALLEN BLAKE Information

Npi 1093800245
Pac Id 9739267246
Professional Enrollment Id I20080424000333
Last Name BLAKE
First Name SIDNEY
Middle Name ALLEN
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1991
Primary Specialty HOSPITALIST
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name FHPG LLC
Group Practice Pac Id 9537481569
Number Of Group Practice Members 125
Line 1 Street Address 520 ALLEN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TROY
State NC
Zip Code 273712802
Phone Number 9105715000
Hospital Affiliation Ccn 1 150082
Hospital Affiliation Lbn 1 DEACONESS HOSPITAL INC
Hospital Affiliation Ccn 2 340115
Hospital Affiliation Lbn 2 FIRSTHEALTH MOORE REGIONAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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