Individual provider · Type 1 NPI

John A. Blake, PA-C

Physician Assistant · Shallotte, NC

NPI number 1780726570 Active

Practice location

712 Village Rd SW Ste 104
Shallotte, NC 28470-3449

Fax (910) 754-7608

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103290NC (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780726570

John A. Blake, PA-C's National Provider Identifier is 1780726570, issued on Feb 12, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shallotte, NC. The record was last updated on Jun 3, 2019.