Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Blaize, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902652324

Ebony Blaize, MD is a Student in an Organized Health Care Education/Training Program in Chapel Hill, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6013 Farrington Rd Ste 301
Chapel Hill, NC 27517-8173
Phone: (984) 974-6669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence BLAI-NMH93T (NC)

Record details

NPI number1902652324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 26, 2024
Last updated in NPPESApril 26, 2024
Certification dateApril 25, 2024

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