| Dr. Thomas L Blake Pa | |
|
104 N Greensboro Street, Liberty, NC 27298 | |
| (336) 622-1600 | |
| (336) 622-1600 |
| Full Name | Dr. Thomas L Blake Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 104 N Greensboro Street, Liberty, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336218221 | NPI | - | NPPES |
| 890830H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2074 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Thomas L Blake Pa Po Box 1185, Liberty, NC 27298-1185 Ph: (336) 622-1600 | Dr. Thomas L Blake Pa 104 N Greensboro Street, Liberty, NC 27298 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 Blake Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 122 N Fayetteville St, Liberty, NC 27298 Phone: 336-622-1600 Fax: 336-622-1600 |