| Dr Thomas Blake Inc | |
|
122 N Fayetteville St, Liberty, NC 27298-3203 | |
| (336) 622-1600 | |
| (336) 622-1600 |
| Full Name | Dr Thomas Blake Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 122 N Fayetteville St, Liberty, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188293 | NPI | - | NPPES |
| 890830H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Blake Inc Po Box 1185, Liberty, NC 27298-1185 Ph: (336) 622-1600 | Dr Thomas Blake Inc 122 N Fayetteville St, Liberty, NC 27298-3203 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 L Blake Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 N Greensboro Street, Liberty, NC 27298 Phone: 336-622-1600 Fax: 336-622-1600 |