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

Gerald Wayne Blake, MD

Individual provider Internal Medicine Physician · NPI 1063743979

Gerald Wayne Blake, MD is an Internal Medicine Physician in Sanford, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
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

1139 Carthage St Ste 110
Sanford, NC 27330-4111
Phone: (919) 774-2195
Fax: (919) 776-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 15438 (NC)

Record details

NPI number1063743979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2010
Last updated in NPPESJanuary 18, 2010
Mailing address1139 Carthage St, Suite 110, Sanford, NC 27330-4111

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