Cory Blake, is a
Physical Medicine & Rehabilitation physician based in Davidson, North Carolina. Cory Blake is licensed to practice in North Carolina (license number P23407) and his current practice location is 460 S Main St, Davidson, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 255-6383.
NPI number for Cory Blake is 1790515898 and his current mailing address is 460 S Main St # 302, Davidson, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790515898.
Physician's Profile
Full Name | Cory Blake |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 460 S Main St, Davidson, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790515898
- Provider Enumeration Date: 08/05/2024
- Last Update Date: 08/05/2024
Medical Identifiers
Medical identifiers for Cory Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790515898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | P23407 (North Carolina) | 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. Cory 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 |
Cory Blake, 460 S Main St # 302, Davidson, NC 28036-8006 Ph: (704) 255-6383 | Cory Blake, 460 S Main St, Davidson, NC 28036-8006 Ph: (704) 255-6383 |
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