Mrs Chandra Blake, BS, MS is a
Religious Nonmedical Practitioner based in Thomasville, Georgia. Mrs Chandra Blake is licensed to practice in Georgia (license number ) and her current practice location is
228 Augusta Ave, Thomasville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 228-7775.
NPI number for Mrs Chandra Blake is 1932944048 and her current mailing address is Po Box 2763, Thomasville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932944048.
Healthcare Provider's Profile
| Full Name | Mrs Chandra Blake |
|---|
| Gender | Female |
|---|
| Speciality | Religious Nonmedical Practitioner |
|---|
| Location | 228 Augusta Ave, Thomasville, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932944048
- Provider Enumeration Date: 06/28/2024
- Last Update Date: 06/28/2024
Medical Identifiers
Medical identifiers for Mrs Chandra Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932944048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (Georgia) | Secondary |
| 183700000X | Pharmacy Technician | (Georgia) | Secondary |
| 225C00000X | Rehabilitation Counselor | (Georgia) | Secondary |
| 374K00000X | Religious Nonmedical Practitioner | (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chandra Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Chandra Blake, BS, MS
Po Box 2763,
Thomasville, GA 31799-2763
Ph: (229) 228-7775 | Mrs Chandra Blake, BS, MS
228 Augusta Ave,
Thomasville, GA 31792-7003
Ph: (229) 228-7775 |
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