Dr. Thomas L Blake Pa | |
104 N Greensboro Street, Liberty, NC 27298 | |
(336) 622-1600 | |
(336) 622-1600 |
Full Name | Dr. Thomas L Blake Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 104 N Greensboro Street, Liberty, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336218221 | NPI | - | NPPES |
890830H | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2074 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
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Dr. Thomas L Blake Pa Po Box 1185, Liberty, NC 27298-1185 Ph: (336) 622-1600 | Dr. Thomas L Blake Pa 104 N Greensboro Street, Liberty, NC 27298 Ph: (336) 622-1600 |
Dr. Thomas Leon Blake, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 North Greensboro Street, Liberty, NC 27298 Phone: 336-622-1600 | |
Dr Thomas Blake Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 122 N Fayetteville St, Liberty, NC 27298 Phone: 336-622-1600 Fax: 336-622-1600 |