Blake Family Medicine PLLC
Blake Family Medicine PLLC is a Family Medicine Physician in Shallotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4704 Main StShallotte, NC 28470-1880
Phone: (910) 754-4545
Fax: (910) 754-4794
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 10868 (NC) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 103290 (NC) |
| Physician Assistant | Taxonomy 363A00000X · Licence 103296 (NC) |
Record details
| NPI number | 1295959310 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Blake — Owner · (910) 754-4545 |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | Po Box 3206, Shallotte, NC 28459-3206 |
Other providers in Shallotte
-
Columbus Family Medical PA
712 Village Rd SW Ste 104, Shallotte, NC 28470-3449 · (910) 754-7607
-
Daniel Crawford Hall, MD
5145 Sellers Rd, Shallotte, NC 28470 · (910) 754-4441
-
Christopher Brian Isenhour, MD
5145 Sellers Rd, Shallotte, NC 28470-3405 · (910) 754-4441
-
Jonathan Lawrence Langston, PAC
Shallotte Medical Center Inc 341A Whiteville Rd, Shallotte, NC 28470 · (910) 754-8731