Dr JOHN A BLAKE PA is a male medical professional, specializing in Physician Assistant. He graduated in 2001.
COLUMBUS FAMILY MEDICAL PA
9869 OCEAN HWY W
SUITE 10
CALABASH
NC
284672636
Tel: 9105750281
| Npi | 1780726570 |
| Pac Id | 1658332325 |
| Professional Enrollment Id | I20041105000347 |
| Last Name | BLAKE |
| First Name | JOHN |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | COLUMBUS FAMILY MEDICAL PA |
| Group Practice Pac Id | 2769568492 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 9869 OCEAN HWY W |
| Line 2 Street Address | SUITE 10 |
| Marker Of Address Line 2 Suppression | |
| City | CALABASH |
| State | NC |
| Zip Code | 284672636 |
| Phone Number | 9105750281 |
| Hospital Affiliation Ccn 1 | 340158 |
| Hospital Affiliation Lbn 1 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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