John A Blake, PA-C
John A Blake, PA-C is a Physician Assistant in Shallotte, North Carolina. Qualified in 2001, 25 years ago. Accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 25
- Licensed in
- NC
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
712 Village Rd SW Ste 104Shallotte, NC 28470-3449
Phone: (910) 754-7607
Fax: (910) 754-7608
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 103290NC (NC) |
|---|
Record details
| NPI number | 1780726570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | June 3, 2019 |
| Mailing address | 712 Village Rd Sw Ste 104, Shallotte, NC 28470-3449 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Shallotte
-
Charles F Bay, PA
4503 Main St, Shallotte, NC 28470-4447 · (910) 755-5253
-
Joan Sebastian Bolanos Lopez, PA-C
5160 Ocean Hwy W, Shallotte, NC 28470-4012 · (910) 617-8325
-
Miss. Kelly Collier, PA
120 Coastal Horizons Dr, Shallotte, NC 28470-6094 · (910) 754-4515
-
Taylor Blair Currall, PA-C
204 Smith Ave, Shallotte, NC 28470-4458 · (910) 721-4230
-
Jacob Elias
3650 Express Dr, Shallotte, NC 28470-6501 · (910) 754-2229