Organization · Type 2 NPI

Blake Family Medicine PLLC

Family Medicine Physician · Shallotte, NC

NPI number 1295959310 Active

Practice location

4704 Main St
Shallotte, NC 28470-1880

Call (910) 754-4545 Map

Fax (910) 754-4794

Mailing address

PO Box 3206
Shallotte, NC 28459-3206

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X10868 (NC)
Physician Assistant 363A00000X103290 (NC)
Physician Assistant 363A00000X103296 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1295959310

Blake Family Medicine PLLC's National Provider Identifier is 1295959310, issued on Apr 12, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Shallotte, NC. The record was last updated on Sep 11, 2025.